CPT Code 99255: Inpatient or Observation Consultation, Level 5, 80 Minutes

CPT Code 99255: Inpatient or Observation Consultation, Level 5, 80 Minutes

Learn about CPT code 99255 for inpatient consultations requiring 80 minutes or high-complexity care. Understand billing and documentation needs.

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Frequently asked questions

Yes, if a procedure or additional E/M service is billed the same day.

Only if under appropriate supervision, and attending signs off per teaching physician rules.

Use initial hospital care codes (e.g., 99221–99223) since Medicare no longer pays for consults.

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