CMS Transmittal R13804DEMO: Update to GUIDE Model Appendices for July 2026
Multi-specialty
CPT procedure code
99221 — Initial hospital inpatient care, low complexity
E/MCPT
Code definition
Code
99221
Code system
CPT (Current Procedural Terminology)
Description
Initial hospital inpatient care, low complexity
Category
E/M
Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.
Latest reimbursement alerts
No alerts currently reference 99221 directly. Here are the latest policy changes across all codes.
High
CMS Physician Fee Schedule
Physician Fee Schedule
CMS MAC Archives
General
Medicare Coverage Database - New Items
General
CMS Physician Fee Schedule
Physician Fee Schedule
CMS MAC Archives
General
Related CPT codes (992xx)
99202E/MOffice/outpatient visit, new patient, low complexity
99203E/MOffice/outpatient visit, new patient, moderate complexity
99204E/MOffice/outpatient visit, new patient, moderate-high complexity
99205E/MOffice/outpatient visit, new patient, high complexity
99211E/MOffice/outpatient visit, established patient, minimal
99212E/MOffice/outpatient visit, established patient, straightforward
99213E/MOffice/outpatient visit, established patient, low complexity
99214E/MOffice/outpatient visit, established patient, moderate complexity
99215E/MOffice/outpatient visit, established patient, high complexity
99222E/MInitial hospital inpatient care, moderate complexity
99223E/MInitial hospital inpatient care, high complexity
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