Level 1 Admission H&P (99221)

The 99221 represents the lowest level of initial care for patients being admitted to the hospital.  Internists selected the 99221 level of care for only 5.02% of these encounters in 2018.  The Medicare allowable reimbursement for this service is approximately $104 and is worth 1.92 RVUs.  Usually the presenting problems are of low severity. 

The documentation for this code requires THREE out of THREE of the following:

1)  Detailed History
2)  Detailed Exam
3)  Straightforward / Low Complexity Medical Decision-Making

Or 30 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 more detail in of one of our web-based E/M coding courses.
Admission H&Ps
		Related Topics
		Level 2 Admission H&Ps Level 3 Admission H&Ps Level 1 Hospital Progress Notes Level 2 Hospital Progress Notes Level 3 Hospital Progress Notes
Step-by-step, learn how to perform and document the key components correctly for all three levels of care for admission H&Ps. You will also see how to avoid the most common catastrophic documentation errors for these visits.
		For mutliple users, consider an E/M Compliance Web Portal.