CPT^® 99374, Under Care Plan Oversight Services

The Current Procedural Terminology (CPT^®) code 99374 as maintained by American Medical Association, is a medical procedural code under the range - Care Plan Oversight Services.

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Summary

Report this service when the provider oversees the plan of care provided by a home health agency while the patient is at home or in a facility meant for long–term care. For 99374 the provider should spend a minimum 15–29 minutes on a patient’s indirect care.

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Transitional Care Management (99495 and 99496) with a Medicare Wellness

[QUOTE="TThivierge, post: 516062, member: 216725"] Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual w... [ Read More ]

Transitional Care Management (99495 and 99496) with a Medicare Wellness

Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual wellness CPT. However documentation had to be such ... [ Read More ]

99490 VS G0181

Hi there, do you mean 99374-99375? 99490 is a CCM code and is performed by supervised clinical staff. 99374-99375 are listed as invalid under the Medicare physician fee schedule. [URL='https://select... [ Read More ]

99375/99374 Care Plan Certifications

[QUOTE="jsa1517, post: 130407, member: 23162"] Hi All! I need some help... so as an internal medicine office our Doctors bill for Care Plan Certifications & Recertifications.. codes G0180 or 99375 ... [ Read More ]

G0180 being denied by Medicare Advantage Products

try 99374 or 99375... [ Read More ]

TCM question

Hi, TCM services do not include EKGs. Per EncoderPro: "Do not report these codes when reporting 90951-90970, 98960-98962, 98966-98969, 99071, 99078, 99080, 99091, 99339, 99340, 99358, 99359, 99366-9... [ Read More ]

Care Plan Oversight Services

Hi! Does anyone have experience billing 99374 for Supervision of a patient under care of a home health agency? I'm not clear on the difference between this and the G0179/G0180 codes. I would real... [ Read More ]

Care Plan Oversight Services 99374 - 99380 99380 appreciated input podiatrist specifically

Does anyone know if any type of specialist like Podiatrist can bill the CPO codes? One of our Podiatrist seems to think he should be able to, but I can not find any thing that specifically states yes... [ Read More ]

G0180/99374

We bill all payers the G0180 code except for Medicaid. We bill Medicaid 99374. Blue Cross (non-HMO) is the only payer we have difficulties being reimbursed for G0180/99374.... [ Read More ]

64416 & Daily Pain Management

Below goes on to say that these codes are for when the patient initiates the phone consultation. I don't believe that your scenario meets the criteria to bill a telephone E/M and to bill a regular EM ... [ Read More ]

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