CPT 99236 Reimbursement & Policy Benchmarks

Find policies, billing codes, payers, states, and providers

CPT-99234-HOSPITAL-SAME-DAY-ADMIT-DISCHARGE-EVALUATION-MANAGEMENT

CPT 99234: Hospital Admission and Same-Day Discharge E/M

CPT-99235-HOSPITAL-SAME-DAY-ADMIT-AND-DISCHARGE-MODERATE-COMPLEXITY

CPT 99235: Hospital Inpatient/Observation Admission and Discharge, Moderate MDM

CPT-99236-HOSPITAL-ADMISSION-AND-DISCHARGE-SAME-DAY-HIGH-MDM-OR-85MIN

CPT 99236: Inpatient/Observation Admission and Discharge, High MDM or ≥85 min

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.