CPT 99232: Evaluation And Management

CPT 99232 (Evaluation and management code) - Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
http://www.findacode.com/code.php?set=CPT&c=99232
The physician’s consultation note includes the admission date (12/10/2013), the beneficiary’s present illness, past medical and social history, and review of acute symptoms and body systems. The documentation supports the performance of a detailed history and an expanded problem focused examination with medical decision making of moderate complexity.

The findings support performance of the subsequent hospital care level.

Federal Claims Collection Act of 1966

Internet Only Manual (IOM), Publication 100-06, Medicare Financial Management Manual, Chapter 3, Section 10

CMS Internet Only Manual (IOM) Publication 100-04 (Medicare Claims Processing Manual), Chapter 12, Section 30.6 (Evaluation and Management Service Codes 99201-99499)

Section 1862(a) (1) of the Social Security Act

Section 1833 (e) of the Social Security Act http://www.ssa.gov/OP_Home/ssact/title18/1833.htm Title 42 Code of Federal Regulations, Section 424.5(a) (6)
Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or