Infectious Disease Billing
Infectious disease billing centers on consultations, hospital visits and long-term treatment plans. Choosing the right evaluation and management level and documenting complexity correctly is key to reimbursement.
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Common Conditions Billed in Infectious Disease
HIV management
Hepatitis B and C
Sepsis and bacteremia
Bone and joint infections
Endocarditis
Pneumonia
Clostridioides difficile infection
Tuberculosis
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Common Infectious Disease Billing Codes
✅ Frequently Billed Services
| CPT Code | Description |
|---|---|
| 99202–99215 | New/established patient office visits |
| 99221–99223 | Initial hospital inpatient or observation care |
| 99231–99233 | Subsequent hospital inpatient or observation care |
| 99238 / 99239 | Hospital discharge day management |
| 99252–99255 | Inpatient or observation consultations (payer dependent) |
Many payers, including Medicare, do not recognize consultation codes, so we check payer rules before coding. Our team reviews coding, submits clean claims, follows up on denials and recovers unpaid accounts receivable for infectious disease practices.
