Inpatient Consult Services

These codes are used to report inpatient consult services.

The 99251 level of care has been deleted.

The 99252 level of care requires straightforward MDM or a total of thirty-five minutes of time spent.

The 99253 level of care requires low complexity MDM or a total of forty-five minutes spent.

The 99254 level of care requires moderate complexity MDM or a total of sixty minutes spent.

The 99255 level of care requires high complexity MDM or a total of eighty minutes spent.

Reimbursement and national utilization data for these services is not available because they are no longer recognized by Medicare.

The rules for performing and documenting consult services are covered extensively in the OUTPATIENT CONSULT SERVICES course and the INPATIENT CONSULT SERVICES course, which includes examples for all levels of care as well as detailed explanations of the MDM and time required for each visit.

Scroll to Top