The Current Procedural Terminology (CPT ®) code 99255 as maintained by American Medical Association, is a medical procedural code under the range - New or Established Patient.

CPT code 99255 is used for inpatient or observation consultations that require high-complexity medical decision making or at least 80 minutes of total time on a single date.

Mar 4, 2020 · Second, the old initial consultation codes (99251-99255) are no longer recognized by Medicare Part B, although many non-Medicare providers still use them if the payer doesn’t follow …

CPT code 99255 is utilized when a provider conducts an inpatient or observation consultation that meets the criteria of high-level medical decision making or when the total time spent on the encounter is at …

Oct 2, 2025 · Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) were still active CPT ® codes, and depending on where you are in the country, are recognized by a …

2 days ago · 99255 - CPT® Code in category: New or Established Patient—Initial Inpatient or Observation Consulta... CPT Code information is available to subscribers and includes the CPT code …

Mar 7, 2023 · CPT code 99255 signifies a complex inpatient or observation consultation requiring a medically appropriate history and/or examination and high levels of medical decision making.

99251-99255 – Inpatient consultation for a new or established patient, which requires these 3 key components (levels indicated in chart below): history; examination; and medical decision making.

The CPT 99255 code is part of the Evaluation and Management services used for Consultations. It represents a moderate-complexity encounter and is one of several codes that vary based on time …

Physicians and qualified NPPs must report: Initial Inpatient Consultation codes (99251-99255) for an initial consultation and the inpatient hospital setting and the SNF/NF setting; and Appropriate Office …