Prior Auth Required

99232 - Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceSubsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded. 99232 Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.