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Level 1 H&P (99221)
The 99221 represents the lowest level of initial care for patients being admitted to the hospital. Due to the fact that admission criteria have been tightening over the past few years, this is the least popular code used to bill for admission H&Ps among internists who selected the 99221 for only 4.1% of these encounters in 2003. The reimbursement for this level of care is approximately $66.50. Usually the presenting problems are of low severity.
The documentation for this code requires THREE out of THREE of the following :
1) Detailed History
2) Detailed Exam
3) Straightforward / Low Complexity Medical Decision-Making
Or 30 minutes spent face-to-face
with the patient if coding based on time. The appropriate
documentation must be included.
Clinical
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