Observation or inpatient hospital care, low complexity

CPT code 99234 is significant in the Evaluation and Management (E/M) landscape, capturing initial observation or inpatient hospital care at a comprehensive level. This code is employed when healthcare providers initiate care for patients requiring observation or inpatient services with a comprehensive assessment.

Details

CPT code:

99234

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

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

Type:

Admission encounter and discharge encounter on the same date

99234 plays a crucial role in the realm of Evaluation and Management (E/M) services, denoting the initiation of care for patients in an observation or inpatient setting with a comprehensive assessment. The code is applied when healthcare providers undertake the foundational steps in assessing and managing patients whose health concerns demand a thorough evaluation. Its use ensures accurate documentation of efforts in the early stages of care for cases that require a comprehensive assessment.

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

Category I

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

Per Encounter

Modifiers

-

Clinical use

Observation or inpatient hospital care, typically 30 minutes.

Documentation

Observation or inpatient care; detailed history, examination, and MDM for a low complexity patient.

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