CPT^® 99375, Under Care Plan Oversight Services

The Current Procedural Terminology (CPT^®) code 99375 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 supervises the care provided by a home health agency, overseeing the plan of care, while the patient is at home or in a facility meant for long–term care. For 99375 the provider should spend 30 minutes or more on a patient’s indirect care.

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Medicaid and Care Plan Oversight

Hey Everyone, Has anyone had success billing Care Plan Oversight to Medicaid primary? Utah Medicaid does not cover any of the codes generally used for this (G0180, G0179, G0181, 99375, 99378, etc) so ... [ 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 ]

CPO for Nursing Facility Patients

[QUOTE="mlmartin79, post: 318340, member: 250690"] [B]What POS should be used when submitting claims to commercial insurance (i.e UHC)[/B] UHC is denying CPT 99375 stating POS is invalid; my practice... [ Read More ]

G0180 being denied by Medicare Advantage Products

try 99374 or 99375... [ Read More ]

Billing Labor Management for OB labor management prolonged care

Currently we bill complicated labor management time (outside of global) using the primary E&M Code and then the prolonged care codes 99354 (or 99356 depending on POS) and 99355 (or 99357) per date of ... [ Read More ]

CPO Help

I am new to billing Care Plan Oversight and I am having a bit of difficulty. Do these get billed to Medicare even if a patient has a Medicare advantage plan? We have a patient with Humana that I bille... [ Read More ]

Care Plan Oversight-99375/G0180

Our office manager was given information that you cannot bill Care Plan Oversight (99375 or G0180) if the patient has been in the hospital at any time during the 30 days that the Dr. is overseeing. I ... [ Read More ]

CPO for Nursing Facility Patients

[b]What POS should be used when submitting claims to commercial insurance (i.e UHC)[/b] UHC is denying CPT 99375 stating POS is invalid; my practices is using 11 as the provider is in his/her office ... [ Read More ]

Physician services for home healthcare and hospice

They are: 99374 99375 99377 99378 If you Google the Academy of Family Practice website there is a good archived article on documenting and billing for these services.... [ Read More ]

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