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The purpose of the RED process is to support patients from the time they leave the hospital until. the first scheduled primary care provider appointment. The phone call supports a patientâs transition. from the time of discharge until his/her first follow-up primary care appointment. It is important to. include a patientâs support person(s) in the process, if the patient agrees to his/her participation.
According to American Medical Association and Current Procedural Terminology (CPT) guidelines, all of these codes are follow-up codes that require two of three elements (history, exam, and medical decision-making) be met or exceeded to bill for the specified level. These codes also represent follow-up services. As you can see from the accompanying chart, some levels of established outpatient and subsequent observation codes have similar required elements. The elements for 99212 are similar to those of 99224, and the elements for 99214 are the same as those for 99225.