Prior Auth Required

99238 - Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceHospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter
Procedure / Service Description

Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, - level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded. 99238 Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter 99239 Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the

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.