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Level 3 Admission H&P (99223)

The 99223 represents the highest level of initial care for patients being admitted to the hospital. This is the most popular code used to bill for admission H&Ps among internists who selected the 99223 level of care for 67.73% of these encounters in 2018. The Medicare allowable reimbursement for this service is approximately $206 and it is worth 3.86 RVUs. Usually the presenting problems are of high severity.

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

1)    Comprehensive History
2)    Comprehensive Exam
3)    High Complexity Medical Decision-Making

Or 70 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

H&Ps   Related Topics


Basic Course Preview
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.


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