Non-Physician Consult 21+

CPT code 99443 designates prolonged evaluation and management (E/M) service in the inpatient setting, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with inpatients, extending beyond the typical duration of E/M services.

Details

CPT code:

99443

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Non-Face-to-Face Services

Type:

Telephone Services

99443 holds significance in the landscape of E/M services, representing prolonged service in the inpatient setting. Healthcare providers utilize this code when engaging in prolonged face-to-face time with inpatients, extending beyond the usual duration of E/M services. Its use ensures accurate documentation of efforts in providing extended care during patient encounters in the inpatient setting.

Under what category does Non-Physician Consult 21+ fall?

Category I

What is the billing unit for Non-Physician Consult 21+?

Per Encounter

Modifiers

Clinical use

Prolonged physician service in the inpatient or observation setting, requiring direct patient contact beyond the usual service.

Documentation

Prolonged office or other outpatient evaluation and management service before and/or after the usual service; first hour. Document the prolonged service, including the start and end times, and describe the specific activities or discussions that required the additional time. (Geriatric assessment)