AMA CPT® Assistant - 2023 Issue 5 (May)

Questions and Answers (May 2023)

May 2023 page 23 Questions and Answers Evaluation and Management (E/M): Hospital Inpatient and Observation Care Services Question: If an admitting physician requests a consultation from an infectious disease consultant for a hospitalized patient after the admitting physician does the initial admit (99221-99223), what code would the infectious disease consultant report for their first visit? Would it be a code(s) from 99221-99223 (initial hospital inpatient or observation care), 99252-99255 (inpatient or observation consultation), or 99231-99233 (subsequent hospital inpatient or observation care)? Answer: For this scenario, the infectious disease consultant would report either the appropriate initial hospital inpatient or observation...

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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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