Observation or inpatient hospital care, high complexity

Hospital inpatient services are diverse, requiring precise coding to capture the nuances of patient encounters. CPT code 99236 is indicative of subsequent observation or inpatient hospital care at a high level of complexity. This code is applied when healthcare providers engage in the ongoing care of patients in an observation or inpatient setting, with health concerns of high complexity.

Details

CPT code:

99236

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services)

Type:

Admission encounter and discharge encounter on the same date

99236 holds significance in the realm of hospital inpatient services, denoting the ongoing care provided to patients in an observation or inpatient setting with high complexity cases. The code reflects the continued efforts of healthcare providers in assessing and managing patients whose health concerns demand a high level of complexity. Its use ensures accurate documentation of efforts in the ongoing management of patients in these settings.

Under what category does Observation or inpatient hospital care, high complexity fall?

Category I

What is the billing unit for Observation or inpatient hospital care, high complexity?

Per Encounter

Modifiers

-

Clinical use

Observation or inpatient hospital care, typically 70 minutes.

Documentation

Observation or inpatient care; comprehensive history, examination, and high complexity MDM for a high complexity patient.

Up the Ante with Upvio

Additional CPT Codes

Link copied