Inpatient consultation, low complexity

In the spectrum of Evaluation and Management (E/M) services, CPT code 99253 denotes subsequent inpatient hospital care with low complexity. This code is applicable when healthcare professionals engage in ongoing management of patients whose conditions remain relatively straightforward.

CPT code:

99253

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Office or Other Outpatient Consultations

Type:

Inpatient or Observation Consultations

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99253 comes into play for subsequent inpatient hospital care, focusing on cases with low complexity. The code is utilized when healthcare providers continue to oversee patients admitted to the hospital, ensuring that ongoing management aligns with the simplicity of the health concerns. Its application guarantees precise documentation of efforts in navigating hospital care for patients with conditions that require continued but straightforward attention.

Under what category does Inpatient consultation, low complexity fall?

Category I

What is the billing unit for Inpatient consultation, low complexity?

Per Encounter

Modifiers

-

Clinical use

Initial inpatient consultation for a new or established patient, moderate complexity.

Documentation

Initial inpatient consultation; detailed history, examination, and straightforward MDM for a low complexity patient.

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Preventive visit, established patient, 40-64 years

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CPT Code

99386

Preventive visit, established patient, 40-64 years

Special report, group health and other concurrent care

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CPT Code

99380

Special report, group health and other concurrent care

Preventive visit, established patient, 18-39 years

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CPT Code

99385

Preventive visit, established patient, 18-39 years

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