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1DescriptionCodesExplanationsWork RVUTotal RVU
1 Initial Hospital Care Level I 99221

This code is the Medicare allowable code for hospital history & physical and consults.

99221 - 1.92 99221 - 2.87
  Initial Hospital Care Level II 99222 This code is the Medicare allowable code for hospital history & physical and consults. 99222 - 2.61 99222 - 3.87
  Initial Hospital Care Level III 99223 This code is the Medicare allowable code for hospital history & physical and consults. 99223 - 3.86 99223 - 5.73
  Subsequent Hospital Care Level I 99231   99231 - 0.76 99231 - 1.11
  Subsequent Hospital Care Level II 99232   99232 - 1.39 99232 - 2.04
  Subsequent Hospital Care Level III 99233   99233 - 2.00 99233 - 2.95
  Initial Inpatient Consult Level I 99251

This code is NOT Medicare allowable code for hospital history & physical and consults. It may be allowable and paid by other payers.

99251 - 1.00 99251 - 1.38
  Initial Inpatient Consult Level II 99252 This code is NOT Medicare allowable code for hospital history and physical and consults. It may be allowable and paid by other payers. 99252 - 1.50 99252 - 2.11
  Initial Inpatient Consult Level III 99253 This code is NOT Medicare allowable code for hospital history and physical and consults. It may be allowable and paid by other payers. 99253 - 2.27 99253 - 3.24
  Initial Inpatient Consult Level IV 99254 This code is NOT Medicare allowable code for hospital history and physical and consults. It may be allowable and paid by other payers. 99254 - 3.29 99254 - 4.71
  Initial Inpatient Consult Level V 99255 This code is NOT Medicare allowable code for hospital history and physical and consults. It may be allowable and paid by other payers. 99255 - 4.00 99255 - 5.68
  Emergency Dept - New or Established I 99281   99281 - 0.45 99281 - 0.60
  Emergency Dept - New or Established II 99282   99282 - 0.88 99282 - 1.17
  Emergency Dept - New or Established III 99283   99283 - 1.34 99283 - 1.75
  Emergency Dept - New or Established IV 99284   99284 - 2.56 99284 - 3.32
  Emergency Dept - New or Established V 99285   99285 - 3.80 99285 - 4.90
  Critical Care Total Time  99291  1st 30 - 74 min 99291 - 4.50 99291 - 6.32
  Critical Care Total Time  99292  Plus 30 min 99292 - 2.25 99292 - 3.17
  Hospital Discharge Day  99238  <30 minutes 99238 - 1.28 99238 - 2.05
  Hospital Discharge Day  99239  >30 minutes 99239 - 1.90 99239 - 3.04
  Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure 99024   99024 - 0.00 99024 - 0.00

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