===== Outline===== ==== Office or Other Outpatient Services ==== * Hospital Inpatient and Observation Care Services * Consultations * Emergency Department Services * Nursing Facility Services * Home or Residence Services ===== MDM Levels===== ==== Inpatient Floor or Consult Billing ==== === Initial Encounter === ^ Code ^ Requirements, MDM ^ Requirements, Time ^ ^ 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, MDM ^ Requirements, Time ^ ^ 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 - belongs to the same group practice - within the past three years. =====Tables ===== ^Code Type^ CPET Code^ | Hospital Inpatient and Observation Care Services E/M codes | 99221-99223, 99231-99239| | Consultations E/M codes | 99242-99245, 99252-99255 |