Initial hospital care, straightforward complexity

Hospital inpatient services play a pivotal role in healthcare, requiring precise coding to capture the diverse nature of patient encounters. CPT code 99221 denotes initial hospital care for low complexity cases, serving as the foundational step in managing patients admitted to the hospital.

Details

CPT code:

99221

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Initial Hospital Inpatient or Observation Care

Type:

New or Established Patient

In the landscape of hospital inpatient services, 99221 is a code that marks the initiation of care for patients admitted to the hospital with conditions of low complexity. The code is applied when healthcare providers undertake the initial steps in assessing and managing patients whose health concerns are relatively straightforward. Its use ensures accurate representation of efforts in the early stages of hospital care for cases with uncomplicated scenarios.

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

Category I

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

Per Encounter

Modifiers

-

Clinical use

Initial hospital care, typically 30 minutes.

Documentation

Initial hospital care; straightforward MDM for a low complexity patient.

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