CPT Code 99232: Subsequent Hospital Care, Moderate Complexity

CPT code 99232 is used for subsequent hospital inpatient or observation care involving moderately complex medical decision-making. It includes an expanded problem-focused examination, history, and active patient care management. It's different from codes for a new patient consultation and emergency department visits.

To ensure accurate documentation and comply with coding guidelines, providers must include an expanded problem-focused interval history, relevant organ systems examination, and evidence of moderate-level medical decision-making in the patient record.

Outsourcing medical billing services can assist healthcare providers and organizations increase accuracy and efficiency by ensuring coding compliance, streamlining the coding process, and improving revenue cycle management for assessment and management services.