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Chapter Highlights

  • Guidelines and descriptors for codes used to report services provided in hospital inpatient and observation settings other than normal newborn, intensive, or critical care services

  • How 2 of 3 elements of medical decision-making (MDM) are used to select a level of MDM

  • Code selection based on time including continuous time crossing midnight and prolonged service

  • Guidelines for reporting split or shared visits

  • Selecting the appropriate category of hospital evaluation and management (E/M) services

  • Codes for reporting face-to-face consultations and interprofessional consultations through internet, telephone, or electronic health record (EHR)

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