E/M CODE: HOSPITAL FOLLOW UP
🏥 Hospital Follow-Up E/M Codes
| CPT Code | Requirements | Typical Situation | MDM Complexity |
|---|---|---|---|
| 99231 | Problem-focused HistoryProblem-focused ExamStraightforward or Low MDM | Stable patient, simple check-in, minimal management | Straightforward / Low |
| 99232 | Expanded Problem-focused HistoryExpanded Problem-focused ExamModerate MDM | New minor issue, needs some changes, closer monitoring | Moderate |
| 99233 | Detailed or Comprehensive HistoryDetailed or Comprehensive ExamHigh MDM | Worsening patient, serious new issues, critical interventions needed | High |
✨ Quick Flowchart to Pick E/M Code
START ⬇️ Is the patient STABLE, no major changes? ➡️ Yes: 99231 ✨ ➡️ No: Continue
Is there a NEW PROBLEM or MODERATE management change? ➡️ Yes: 99232 📈 ➡️ No: Continue
Is the patient WORSENING or requires HIGH-risk management? ➡️ Yes: 99233 🔥
🔄 Quick Memory Tips
- 99231 = "Quick Stable Check"
- 99232 = "New Issue, Moderate Management"
- 99233 = "Sick Patient, Serious Management"
Always match:
- History ✅
- Exam ✅
- MDM ✅
before picking your code!