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billing [2024/01/02 12:43] – [Definitions] admin | billing [2024/01/03 13:22] (current) – [Inpatient Floor or Consult Billing] admin | ||
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* Home or Residence Services | * Home or Residence Services | ||
- | ==== Definitions==== | + | ===== MDM Levels===== |
- | ===New Patient === | + | |
- | A **new patient** is one who has not received any professional services from the physician or other qualified health care professional or another physician or other qualified health care professional | + | ==== Inpatient Floor or Consult Billing ==== |
+ | === Initial Encounter === | ||
+ | ^ Code ^ Requirements, | ||
+ | ^ 99221 | straightforward or low level MDM | if using time, must be >= 40 minutes | ||
+ | ^ 99222 | moderate level MDM | if using time, must be >= 55 minutes | ||
+ | ^ 99223 | High level MDM | if using time, must be >= 75 minutes | ||
+ | |||
+ | === Subsequent Encounter === | ||
+ | ^ Code ^ Requirements, | ||
+ | ^ 99231 | straightforward or low level MDM | if using time, must be >= 25 minutes | ||
+ | ^ 99232 | moderate level MDM | if using time, must be >= 35 minutes | ||
+ | ^ 99233 | High level MDM | if using time, must be >= 50 minutes | ||
+ | |||
+ | ===== Definitions===== | ||
+ | ====New Patient | ||
+ | A new patient is one who has not received any professional services from the physician or other qualified health care professional or another physician or other qualified health care professional | ||
- of the exact same specialty and subspecialty who | - of the exact same specialty and subspecialty who | ||
- belongs to the same group practice | - belongs to the same group practice |