SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED INTERVAL HISTORY; AN EXPANDED PROBLEM FOCUSED EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. COUNSELING AND/OR COORDINATION OF CARE WITH OTHER PHYSICIANS, OTHER QUALIFIED HEALTH CARE PROFESSIONALS, OR AGENCIES ARE PROVIDED CONSISTENT WITH THE NATURE OF THE PROBLEM(S) AND THE PATIENT'S AND/OR FAMILY'S NEEDS. USUALLY, THE PATIENT IS RESPONDING INADEQUATELY TO THERAPY OR HAS DEVELOPED A MINOR COMPLICATION. TYPICALLY, 25 MINUTES ARE SPENT AT THE BEDSIDE AND ON THE PATIENT'S HOSPITAL FLOOR OR UNIT.

Reported by 6 hospitals in the network under the percent of billed charges methodology.

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All methodologiesCase rateFee schedulePer diemPercent of billed chargesOther

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$82

Average

$111

Median

$89

High

$208

Hospitals reporting HCPCS 99225

#	Hospital	Location
1	Winneshiek Medical Center	Decorah, IA	$208	$208	—	—	$20	$208
2	UPMC Pinnacle Hospitals	Harrisburg, PA	$114	$114	—	—	$114	$114
3	Bronson Methodist Hospital	Kalamazoo, MI	$74	$82	$21	—	$62	$116
4	Bronson Battle Creek Hospital	Battle Creek, MI	$89	$89	$21	—	$62	$116
5	Bronson LakeView Hospital	Paw Paw, MI	$78	$85	$23	—	$62	$116
6	Bronson South Haven Hospital	South Haven, MI	$89	$89	$27	—	$62	$116

Look up this code directly

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SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH REQUIRES AT LEAST 2 OF THESE 3 KEY COMPONENTS: AN EXPANDED PROBLEM FOCUSED INTERVAL HISTORY; AN EXPANDED PROBLEM FOCUSED EXAMINATION; MEDICAL DECISION MAKING OF MODERATE COMPLEXITY. COUNSELING AND/OR COORDINATION OF CARE WITH OTHER PHYSICIANS, OTHER QUALIFIED HEALTH CARE PROFESSIONALS, OR AGENCIES ARE PROVIDED CONSISTENT WITH THE NATURE OF THE PROBLEM(S) AND THE PATIENT'S AND/OR FAMILY'S NEEDS. USUALLY, THE PATIENT IS RESPONDING INADEQUATELY TO THERAPY OR HAS DEVELOPED A MINOR COMPLICATION. TYPICALLY, 25 MINUTES ARE SPENT AT THE BEDSIDE AND ON THE PATIENT'S HOSPITAL FLOOR OR UNIT.