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HOSPITAL PROGRESS NOTES
 

 
Subsequent Hospital Care (99231-99233)

These codes are used to bill for subsequent hospital care services known to all physicians since their first clerkship as hospital progress notes.  There are three levels of care for this type of encounter which all require qualifying documentation of two out of three key components. Most physicians over-document and under-code for these services. You can break this pattern by viewing the web-course listed below.
Level E/M Code History Physical Exam MDM Time
1 99231 Problem Focused Problem Focused Straightforward / Low 15
2 99232 EPF EPF Moderate 25
3 99233 Detailed Detailed High 35

For these encounters, documentation of two out of three key components is required for any given level of care

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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