Emergency department visit, straightforward complexity

In the realm of Emergency Department (ED) services, CPT code 99281 is indicative of a low-level emergency department visit. This code is employed when healthcare providers assess and manage patients with health concerns that present a straightforward and low level of complexity.

Details

CPT code:

99281

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Emergency Department Services

Type:

New or Established Patient

99281 plays a pivotal role in Emergency Department (ED) services, denoting low-level visits where healthcare providers assess and manage patients with health concerns of relatively low complexity. The code reflects encounters in the ED that do not involve extensive evaluation and management efforts. Its utilization ensures accurate documentation of efforts in managing patients with straightforward health concerns during low-level emergency department visits.

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

Category I

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

Per Encounter

Modifiers

-

Clinical use

Emergency department visit, problem-focused.

Documentation

Emergency department visit; problem-focused history and examination, straightforward medical decision-making.

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