Emergency department visit, very high complexity

CPT code 99285 is significant in Emergency Department (ED) services, representing a critical care visit. This code is employed when healthcare providers assess and manage patients with health concerns that present a critical and high level of complexity, requiring urgent and intensive evaluation and management efforts.

Details

CPT code:

99285

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Emergency Department Services

Type:

New or Established Patient

Within Emergency Department (ED) services, 99285 is a code that signifies critical care visits where healthcare providers assess and manage patients with health concerns of critical and high complexity. The code is utilized when encounters in the ED demand urgent and intensive evaluation and management efforts. Its use ensures accurate documentation of efforts in managing patients with health concerns that present a critical and high level of complexity during critical care emergency department visits.

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

Category I

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

Per Encounter

Modifiers

-

Clinical use

Emergency department visit, high complexity.

Documentation

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

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