AMA CPT® Assistant - 2013 Issue 8 (August)

Evaluation and Management: Hospital Inpatient Services (Q&A) (August 2013)

August 2013 page 13b Evaluation and Management: Hospital Inpatient Services Question: Does code 99233 require medical decision making of high complexity? Answer: Not if both of the other 2 components in the code are performed. When subsequent hospital care is reported, at least two of the three key components must meet or exceed the stated requirements to qualify for a particular level of E/M service, as stated in the descriptor of code 99233: Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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