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Payment for Initial Hospital Care Services (Codes 99221 - 99233) and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Codes 99234 - 99236)

This transmittal updates Chapter 12, §30.6.9.1 with initial hospital care policy including Admission and Discharge Services on the same calendar date of service. This physician payment policy was finalized in the Physician Fee Schedule Final Rule, dated November 1, 2000, Vol. 65, No. 212, pp. 65408 - 65409 with the implementation of the American Medical Association Current Procedural Terminology (CPT) codes for CPT 2001.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: February 22, 2008

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.