CPT^® 98961, Under Education and Training for Patient Self-Management

The Current Procedural Terminology (CPT^®) code 98961 as maintained by American Medical Association, is a medical procedural code under the range - Education and Training for Patient Self-Management.

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Summary

A nonphysician healthcare professional uses a standard curriculum to educate patients about their disease or disorder, for example, asthma or diabetes. She also provides training on how to manage it more effectively. This education and training service enables the patients and or their caregivers or families to effectively manage the disease. The healthcare professional spends 30 minutes with a group of two to four patients.

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Forum

Have a question about CPT Code 98961 ? Start a discussion here

Billing CCM and CDSME code services on the same patient in same month

Can a practice bill CCM services (code G-0511) and also bill CDSME services (codes 98960, or 98961 or 98962) on the same patient in the same month?... [ Read More ]

Billing for Patient Education 98960

Hello, Yes, 98960 is "Education and training for patient self-management by a qualified, non-physician health care professional using a standardized curriculum, face-to-face with patient (could inclu... [ Read More ]

Group visits

[QUOTE="SharonCollachi, post: 474441, member: 654943"] I don't think you can have one group comprised of both, because they are different things. You can have a group based on behavior management, or... [ Read More ]

Group visits

I don't think you can have one group comprised of both, because they are different things. You can have a group based on behavior management, or anger management, or grief, or whatever, but that woul... [ Read More ]

Group visits

[QUOTE="SharonCollachi, post: 474437, member: 654943"] Okay, I'll bite. Why do they not all come under 90853? Also, don't forget to review the interactive complexity code, 90785, particularly with c... [ Read More ]

Group visits

We are a pediatric office that has LMSW's working with our patients for their behavioral issues. We are starting group visits, but have a question in regards to a coding issue. We will be using CPT ... [ Read More ]

99211 or 98960 for diabetes education by RN

Ok... Let me see if i have this straight. I am trying to file BCBS of SC with a 98961 for group diabetic education. It denies as not separately payable. So instead, use a 99211? Is that correct? ... [ Read More ]

98960 telemedicine?

In the 2017 CPT book, the education codes 98960, 98961 and 98962 have a star next to them indicating telemedicine. These are face to face training sessions. Is that a typo? I was told to use 98960 for... [ Read More ]

Preventive Services

Additional information would be nice, but may be you can figure out from what you have as office medical records to see if these codes work for you. 96040 Medical genetics and genetic counseling se... [ Read More ]

Cpt code patient education

[b]Diabetic education provided by NP[/b] In these code selections below, is a NP considered non-physician when working under the supervision of MD? 98960 Education and training for patient self-mana... [ Read More ]

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