Inpatient consultation, moderate complexity

CPT code 99254 represents subsequent inpatient hospital care within the Evaluation and Management (E/M) framework, emphasizing moderate complexity scenarios. This code is deployed when healthcare providers engage in the ongoing management of patients with health concerns that demand a moderate depth of evaluation.


CPT code:



Category I


Evaluation and Management (E/M)


Office or Other Outpatient Consultations


Inpatient or Observation Consultations

When patients in a hospital setting present with conditions of moderate complexity, 99254 is employed to document subsequent inpatient care. The code reflects the ongoing efforts of healthcare providers to manage cases that require a nuanced approach, involving a comprehensive assessment and decision-making of moderate complexity. Its use ensures accurate representation of the depth of care provided to patients during the course of their hospital stay.

Under what category does Inpatient consultation, moderate complexity fall?

Category I

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

Per Encounter



Clinical use

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


Initial inpatient consultation; comprehensive history, examination, and moderate MDM for a moderate complexity patient.

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