CPT Code 99236: Same-Day Admission and Discharge with High-Complexity Decision-Making

No. CPT 99236 is reserved for hospital inpatient or observation care services, not for ED visits. If the patient is not formally admitted to inpatient status or observation care, use ED-specific E/M codes.

No. A face-to-face encounter is required for CPT 99236. You must evaluate the patient in person and provide both admission and discharge services on the same calendar date.

Residents cannot bill directly. However, a qualified health care professional must be present and involved in key parts of the service. If a resident performs part of the service under supervision, append Modifier GC to the claim if applicable.