CPT^® 99349, Under Established Patient

The Current Procedural Terminology (CPT^®) code 99349 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient.

Additional/Related Information

Tabs

Summary

The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least 40 minutes of total time on the encounter on a single date.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 99349 ? Start a discussion here

Telemedicine and Home Health Professional services

Hello, I have questions regarding billing of E/M services for professional home or domiciliary visits performed via telehealth. I am having difficulty getting reimbursement from Anthem, when we will ... [ Read More ]

HH recert and home visit

I have a physician that is billing G0179 and 99349 together. It keeps getting denied for modifier but according to encoder pro 25 is not allowed as the modifier for the 2 codes. Anyone else billing fo... [ Read More ]

POS 12 for 96160

I have a doctor that sees patients in their home and does AWV G0439 and 99349 Home Visit. Medicare RR is denying 96160 for pos12. Is this not allowed? I cannot find any info to confirm this denial. P... [ Read More ]

Billing 93793

Hello, we billed Medicare 99349-25, 93793 and 99497. CPT 93793 was denied as CO 236 this procedure combination is not compatible with another procedure. Per CPT guidance we should not bill 93793 wit... [ Read More ]

Denials for Advanced Care Planning with mod 25

I would add modifier 25 to the visit itself, so 99349-25 and also add modifier 33 to 99497 for the Advance Care Planning.... [ Read More ]

Denials for Advanced Care Planning with mod 25

We billed 99349, 99497, G0008, 90472, 90715 & 90686. Which E & M gets modifier 25? Coder light points to the Advanced Care Planning code, stating code 99497 is a column 2 code for 90472, my coding ma... [ Read More ]

99349 CPT

We are billing cpt 99349 for the home visit with place of service 12 to Medicare. They are denying it stating that Modifier is invalid. We are not putting a modifier on the claim,should be be adding a... [ Read More ]

Home visit and New paient visit

Hi I have a patient who was already seen at our office for the first time as a new patient 99204 and pt requested a home visit after. If I bill the new patient for the first visit, how do i bill the f... [ Read More ]

In Home Billing by a Physician

[b]In Home Billing[/b] I work for a primary physician who still does house calls to some extent, our established patients who are no longer able to leave their homes and I will bill the 99348 or 9934... [ Read More ]

House call visit billing

When billing for house call visits (EX: 99349) by a P.A. do you have to use a certain modifier to show that it was a PA and not the MD that saw the patient?... [ Read More ]

View All