CPT 99223
Hospital CareFirst-day hospital admission evaluation for serious or complex condition
$250
Federal baseline rate
$400 - $1,200
Typical facility range
$300 - $800
Outpatient/clinic range
Official Description
Initial hospital inpatient care, high severity
Common Billing Errors
Watch for these issues when reviewing your bill
- Used when 99221 or 99222 appropriate
- Billed multiple times for same admission
- Documentation doesn't support complexity
What to Look For
Tips for reviewing this charge on your bill
- Verify high complexity documented
- Check only one initial care code billed
- Review subsequent care codes are appropriate
How to Dispute This Charge
- 1
Request an Itemized Bill
Ask your provider for a detailed bill showing all CPT codes and individual charges.
- 2
Compare to Typical Costs
Check if your charge falls within the typical range. Excessive charges may be negotiable.
- 3
Check for Errors
Review the common billing errors listed above and verify the service was actually performed.
- 4
Generate a Dispute Letter
Use our free tool to create a professional dispute letter citing specific concerns.
Quick Facts
Category
Hospital Care
CPT Code
99223
Medicare Rate
$250
Need to Dispute This Charge?
Generate a free, professional dispute letter that references CPT code 99223and explains your concerns.
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