When reviewing records for an initial hospital visit by the admitting physician and the level of service does not meet the lowest level (99221) what would be appropriate to bill? The records reflect an Expanded Problem Focused HPI, Detailed Exam and Moderate MDM. Would you bill a 99232 or unlisted 99499? I am getting conflicting opinions, some say go with the 99232, others say you shouldn't bill and yet others advise using the unlisted code. These are all Medicare patients which our hospitalists are admitting to the hospital but their documentation in the HPI is not meeting a detailed HPI which is the lowest level initial code.