CPT^® 99491, Under Chronic Care Management Services

The Current Procedural Terminology (CPT^®) code 99491 as maintained by American Medical Association, is a medical procedural code under the range - Chronic Care Management Services.

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Summary

The provider, a physician or other healthcare professional, personally directs the evaluation and management of a patient with two or more chronic A physician or other qualified healthcare professional personally performs management and care plan services for a patient with two or more chronic conditions, expected to last at least one year or until the patient’s death. The conditions place the patient at significant risk of death, acute exacerbation, decompensation, or functional decline. Use this code for the first 30 minutes of physician or other qualified healthcare professional time per calendar month.

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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 ]

CCM - Chronic Care Management questions ccm chronic care management

Hello all, Our office would like to start billing for CCM and in looking at all the information out there, I still have some questions that I hope someone may be able to answer or direct me to help ge... [ Read More ]

Chronic care management

We are looking in to billing chronic care management 99487,99490 and 99491. We already have patient consent to be in the program and are aware of the other requirements,but are questioning the 2 chron... [ Read More ]

RPM + CCM + Interprofessional telephone/Internet assessment? 99446 99487 99491 chronic care management remote patient monitoring rpm

Hi, I am trying to figure out if 99446-99449, 99451-99452 can be billed by a provider in addition to 99453, 99454, 99457 and/or 99458? Further, can 99446-99449 be billed in addition to Chronic Care Ma... [ Read More ]

Telehealth & Phone Consultations

If we are biling telehealth services like 99441 to 99443. Is it billable for SNF and ALF facility? We are practicing for SNF and ALF facility. now i need solution for billing telehealth services for t... [ Read More ]

non-face-to-face diabetes follow up provided by DM-E 99091 99453 99457 ccm diabetes education

Hello All, We have a Diabetes Educator (DM-E) on staff who sees any patient that our PCP's have referred to her for services. Our ops team is looking to have the DM-E call our patients and follow-up ... [ Read More ]

CPT 99491 used in addition to E/M codes

Is anyone utilizing this code and if so does it require a modifier? Or can it be used just additionally? I know that this code is only utilized once per 30 days just wasn't sure if any additional mod... [ Read More ]

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