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LEVEL 2 PROGRESS
NOTE
 

 

Level 2 Hospital Progress Note (99232)

The 99232 represents the “middle” code for hospital progress notes.  Not surprisingly, this is the most popular level of care selected by internists who use the 99232 for 61% of these encounters.  The 99232 ranked a respectable 3rd among the most frequently used CPT codes among all physicians last year.  The reimbursement for this level of care is approximately $69.  Usually the patient is responding inadequately to therapy or has developed a minor complication. In daily practice these are by far the most over-documented notes on the planet becaue most doctors simply don't realize that not much documentation is actually required. (Hint: Take the web-course.)

The documentation for this encounter requires TWO out of THREE of the following :

1)    Expanded Problem Focused History
2)    Expanded Problem Focused Exam
3)    Moderate Complexity Medical Decision-Making

Or 25 minutes spent face-to-face with the patient if coding based on time.  The appropriate documentation must be included.

Clinical Example

This topic is covered in much more detail in of one of our web-based E/M coding courses.
 

Hospital Progress Notes

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These are the most common hospital encounters. Most doctors over-document and under-code for these services. This course will show you how to avoid this trap and save time while increasing reimbursement.  
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