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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 chose the 99232 for 58.5% of these encounters in 2003. The 99232 ranked a respectable 3rd among the most frequently used CPT codes among all physicians in that year. The reimbursement for this level of care is approximately $54.50. Usually the patient is responding inadequately to therapy or has developed a minor complication.
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.
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