Pediatric Coding Alert

Reader Question:

'Case Management' Can Be Coded Various Ways

Question: Does CPT® include any procedure codes for case management, phone calls to patients, filling out forms, and coordinating the patients care? These things have become time-consuming for our practice.Nevada SubscriberAnswer: Yes, CPT® does include an increasing number of codes that might help you out. First, you should consider the 99441-99443 series for telephone evaluation and management services if you perform them. These codes are not simply for calling another clinician to chat about a patient's condition. Rather, they are used for actual E/M services provided to the patient and performed over the phone.You'll find case management codes listed under 99363-99368. In this series, you will find codes for medical team conferences, whether the patient is present (99366) or not (99367-99368). As for completing forms, you can report 99080 (Special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting form). The [...]
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