All scenarios
IntroPlace of Service
The line that won't pass edits
CLM-100309Professional · 837P
Total billed
$310.00
- Member ID
- MBR-0067
- Plan
- Medicare Advantage (illustrative)
- Eligibility
- Member eligible on the date of service.
Member & Eligibility
- Name
- Summit Hospital Medicine Group
- NPI
- NPI-•••••5512
- Network
- In-network
- Specialty
- Hospital Medicine
Provider
Service Lines
| # | DOS | CPT/HCPCS | Mods | ICD-10 | POS | Units | Charge |
|---|---|---|---|---|---|---|---|
| 1 | Jun 3, 2025 | 99223 | — | J18.9 | 11 — Office | 1 | $310.00 |
Prior Authorization
Not required.
Attachments & Notes
- •CPT 99223 is initial hospital inpatient care, high complexity. The encounter occurred during an inpatient admission for pneumonia.
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