INPATIENT CONSULTATION CONVERSION Consultation Initial Inpatient Care History

INPATIENT CONSULTATION CONVERSION Consultation Initial Inpatient Care History Exam Decision Making 99251 99499 HPI: 1 -3 elements, ROS: 0 system PFSH: None 1 organ system (1995) Minimal/ Straightforward or 1 bullet (1997) 99252 99499 HPI: 1 -3 elements, ROS: 1 system PFSH: None 2 -7 organ systems (1995) or 2 -11 bullets (1997) Minimal/ Straightforward 99253 99221 HPI: 4 elements, ROS: 2 -9 systems PFSH: one or more 2 -7 organ systems (1995) or 12 bullets (1997) Low 99254 99222 HPI: 4 elements, ROS: 10 systems 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) Moderate 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) High PFSH- all three 99255 99223 HPI: 4 elements, ROS: 10 systems PFSH: all three

OBSERVATION CONSULTATION CONVERSION (revised 12 -16 -09) Consultation New Patient Visit History Exam Decision Making 99241 99201 HPI: 1 -3 elements, ROS: 0 system PFSH: None 1 organ system (1995) Minimal/ Straightforward or 1 bullet (1997) 99242 99202 HPI: 1 -3 elements, ROS: 1 system PFSH: None 2 -7 organ systems (1995) or 2 -11 bullets (1997) Minimal/ Straightforward 99243 99203 HPI: 4 elements, ROS: 2 -9 systems PFSH: one or more 2 -7 organ systems (1995) or 12 bullets (1997) Low 99244 99204 HPI: 4 elements, ROS: 10 systems 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) Moderate 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) High PFSH- all three 99245 99205 HPI: 4 elements, ROS: 10 systems PFSH: all three

OFFICE CONSULTATION CONVERSION TABLE Consultation New Patient Visit History Exam Decision Making 99241 99201 HPI: 1 -3 elements, ROS: 0 system PFSH: None 1 organ system (1995) Minimal/ Straightforward or 1 bullet (1997) 99242 99202 HPI: 1 -3 elements, ROS: 1 system PFSH: None 2 -7 organ systems (1995) or 2 -11 bullets (1997) Minimal/ Straightforward 99243 99203 HPI: 4 elements, ROS: 2 -9 systems PFSH: one or more 2 -7 organ systems (1995) or 12 bullets (1997) Low 99244 99204 HPI: 4 elements, ROS: 10 systems 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) Moderate 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) High PFSH- all three 99245 99205 HPI: 4 elements, ROS: 10 systems PFSH: all three

ER CONSULTATION CONVERSION Consultation ER VISIT History Exam Decision Making 99241 99281 HPI: 1 -3 elements, ROS: 0 system PFSH: None 1 organ system (1995) Minimal/ Straightforward or 1 bullet (1997) 99242 99282 HPI: 1 -3 elements, ROS: 1 system PFSH: None 2 -7 organ systems (1995) or 2 -11 bullets (1997) Minimal/ Straightforward 99243 99283 HPI: 4 elements, ROS: 2 -9 systems PFSH: one or more 2 -7 organ systems (1995) or 12 bullets (1997) Low 99244 99284 HPI: 4 elements, ROS: 10 systems 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) Moderate 8 organ systems (1995) or 2 elements from 9 systems or comprehensive single organ system exam (1997) High PFSH- all three 99245 99285 HPI: 4 elements, ROS: 10 systems PFSH: all three