CPT® 99426, Under Principal Care Management Services
The Current Procedural Terminology (CPT®) code 99426 as maintained by American Medical Association, is a medical procedural code under the range - Principal Care Management Services.
Subscribe to Codify by AAPC and get the code details in a flash.
Tabs
Summary
Clinical staff members, directed by a physician or other qualified healthcare professional, perform management and care plan services for a patient with a complex chronic condition, expected to last three months, which places the patient at significant risk of hospitalization, acute exacerbation, decompensation, functional decline, or death. Use this code for the first 30 minutes of clinical staff time per calendar month.
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.
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.
Read a CPT® Assistant article by subscribing to Code Connect Today!
Search across Medicare Manuals, Transmittals, and more. For FREE Trial, register now!