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CPT CODE 99223 - CGS Medicare

CPT code 99223 INPATIENT HOSPITAL CAREFACT SHEETThis Fact Sheet is for informational purposes only and is not intended to guarantee payment for services, all services submitted to Medicare must meet Medical Necessity guidelines. The definition of medically necessary for Medicare purposes can be found in Section 1862(a)(1)(A) of the Social Security Act Medical Necessity ( ).CPT only copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association. Applicable FARS\DFARS Restrictions Apply to Government 1 | Originated October 2, 2013 | Revised February 7, 2019 2019 Copyright, CGS Administrators, allows only the medically necessary portion of a face-to-face visit.

Integumentary (skin and/or breast) • Neurologic • Psychiatric • Endocrine • Hematologic/Lymphatic • Allergic/Immunologic Past, Family, And/or Social History (PFSH) Consists of a review of the following: • Past history (patient’s past experiences with illnesses, operations, injuries, and treatments

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