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ALL MEDICAL CODES IN CATEGORY Hospital Inpatient and Observation Care Services

2025 CPT code 99231

Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded.

2025 CPT code 99235

Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded.

2025 CPT code 99232

Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.

2025 CPT code 99233

Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded.

2025 CPT code 99234

Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded.

2025 CPT code 99236

Hospital inpatient or observation care; evaluation and management, with admission and discharge on the same date; requiring high medical decision-making or at least 85 minutes of total time.

2025 CPT code 99238

Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter.

2025 CPT code 99221

Initial hospital inpatient or observation care; straightforward or low medical decision making or at least 40 minutes of total time.

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