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Level 3 Hospital Progress Note (99233)
The 99233 represents the highest level of care for hospital progress notes. Not surprisingly, this is the least popular code selected by internists who chose the 99233 for only 18.1% of these encounters in 2003. The 99233 ranked 14th among the most frequently used CPT codes among all physicians in that year. The reimbursement for this level of care is approximately $77.60. Usually the patient is unstable or has developed a significant complication or a significant new problem.
The documentation for this encounter requires TWO out of THREE of the following :
1) Detailed History
2) Detailed Exam
3) High Complexity Medical Decision-Making
Or 35 minutes spent face-to-face
with the patient if coding based on time. The appropriate
documentation must be included.
Clinical Example 1
Clinical Example 2 |
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