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TRICARE Policy Manual 6010.63-M, April 2021
Administration
Chapter 2
Section 2.1
Hospital Care
Issue Date:  March 3, 1992
Authority:  32 CFR 199.4(c)(2)(iii)
Copyright:  CPT only © 2006 American Medical Association (or such other date of publication of CPT). All Rights Reserved.
Revision:  
1.0  CPT CODES
99221 - 99233, 99238, 99239
2.0  DESCRIPTION
2.1  An initial hospital visit includes the history, examination, and medical decision making.
2.2  Subsequent hospital care consists of visits subsequent to the initial visit. Such care consists of an interval history, examination, and medical decision-making.
3.0  POLICY
Initial hospital care and subsequent hospital care is covered when provided by an individual professional provider for the covered hospitalization.
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