CPT^® 99380, Under Care Plan Oversight Services

The Current Procedural Terminology (CPT^®) code 99380 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 at a nursing facility, overseeing the plan of care. For 99379 the provider should spend 30 minutes or more on the patient’s indirect care.

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Forum

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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 ]

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 ]

clarifying Care plan oversight-DESPERATE for GUIDANCE PLEASE

Hi everyone! I've posted this in E/M and Billing/Reimbursement 160 views, no answers-PLEASE HELP I have a pediatric pt who has been admitted to a psychiatric inpatient facility. The parents are in co... [ Read More ]

Clarifying Care Plan oversight-PLEASE HELP

Hi everyone! I have a pediatric pt who has been admitted to a psychiatric inpatient facility. The parents are in constant contact with my doc, regarding progress, transfers, etc. My doc has been trac... [ Read More ]

Clarifying Care Plan oversight-help please

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 ]

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 ]

64416 & Daily Pain Management

The Telephone E/M codes are below. Did he document the time spent talking to the patient. Review the guidelines, they are difficult to meet to report these codes in a lot of scenarios Restrictions to... [ Read More ]

Assisted Living Encounters with Medicare

We bill and are paid for assisted living visits using the following information: - Place of service is 13 - Assisted Living Facility - The provider's group NPI is used for location - CPT codes are 99... [ Read More ]

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