What CPT code is 99254?

99254 Inpatient consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity.

Is CPT 99254 covered by Medicare?

On January 1, 2010, Medicare eliminated consultation codes for both hospital and office visits. The codes that Medicare is eliminating are outpatient office codes, 99241 through 99245 (99241, 99242, 99243, 99244, 99245) and inpatient hospital codes, 99251 through 99255 (99251, 99252, 99253, 99254, 99255).

How Much Does Medicare pay for 99254?

The 99254 ranked 44th among the most frequently used CPT codes by all physicians in 2003. Usually the presenting problems are of moderate to high severity. The reimbursement for this level of care is approximately $139.70. Or 80 minutes spent face-to-face with the patient if coding based on time.

What is inpatient consultation CPT code?

Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) are still active CPT® codes, and depending on where you are in the country, are recognized by a payer two, or many payers.

What is CPT code replaces 99245?

In 2011, the Centers for Medicare & Medicaid Services (CMS) terminated their use of consultation codes. They created a crosswalk system to transition providers away from using these eliminated codes. Office/outpatient Evaluation & Management (E/M) codes 99211-99205 replaced consult codes 99241-99245.

What is CPT 99255?

The Current Procedural Terminology (CPT) code 99255 as maintained by American Medical Association, is a medical procedural code under the range – New or Established Patient Initial Inpatient Consultation Services.

What is the CPT code for hospital admission?

Physicians shall use the Observation or Inpatient Care Services (Including Admission and Discharge Services) using a code from CPT code range 99234 – 99236 for a hospital admission and discharge occurring on the same calendar date and when specific Medicare criteria, identified in §30.6.9.1, are met.

What is Procedure Code 99244?

The Current Procedural Terminology (CPT) code 99244 as maintained by American Medical Association, is a medical procedural code under the range – New or Established Patient Office or Other Outpatient Consultation Services.