Initial hospital care, moderate complexity

CPT code 99223 represents a pivotal stage in hospital inpatient services, signifying initial care for high complexity cases. This code is deployed when healthcare providers undertake the foundational steps in assessing and managing patients admitted to the hospital with intricate health conditions.


CPT code:



Category I


Evaluation and Management (E/M)


Initial Hospital Inpatient or Observation Care


New or Established Patient

Within hospital inpatient services, 99223 stands out as a code denoting the commencement of care for patients admitted with high complexity cases. The code reflects the initial efforts of healthcare providers in addressing patients whose health concerns demand an in-depth evaluation and management approach. Its utilization ensures accurate documentation of the intensity and complexity inherent in the early stages of hospital care for cases that require a comprehensive assessment.

Under what category does Initial hospital care, moderate complexity fall?

Category I

What is the billing unit for Initial hospital care, moderate complexity?

Per Encounter



Clinical use

Initial hospital care, typically 70 minutes.


Initial hospital care; comprehensive history, examination, and high complexity MDM for a high complexity patient.

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