Emergency department visit, high complexity

Emergency Department (ED) services require precise coding to capture varying levels of patient encounters. CPT code 99284 represents a comprehensive emergency department visit, indicative of the assessment and management of patients with health concerns that present a moderate to high level of complexity.

Details

CPT code:

99284

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Emergency Department Services

Type:

New or Established Patient

99284 plays a crucial role in Emergency Department (ED) services, denoting comprehensive visits where healthcare providers assess and manage patients with health concerns of moderate to high complexity. The code is applied when encounters in the ED demand a nuanced and in-depth evaluation and management approach. Its utilization ensures accurate documentation of efforts in managing patients with health concerns that present a moderate to high level of complexity during comprehensive emergency department visits.

Under what category does Emergency department visit, high complexity fall?

Category I

What is the billing unit for Emergency department visit, high complexity?

Per Encounter

Modifiers

-

Clinical use

Emergency department visit, comprehensive.

Documentation

Emergency department visit; comprehensive history and examination, moderate complexity medical decision-making.

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