Advance Care Planning, Each Additional 30 min

Unlisted evaluation and management service is a versatile code that allows for the reporting of services that do not have a specific Category I code. CPT code 99499 is applied when healthcare providers need to report an unlisted evaluation and management service that does not have a specific Category I code.

Details

CPT code:

99499

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Other Evaluation and Management Services

Type:

Other Evaluation and Management Services

In the realm of evaluation and management services, 99499 plays a versatile role, representing an unlisted code for situations where a specific Category I code does not exist. Healthcare providers utilize this code when reporting services that do not have a designated code, ensuring accurate documentation of efforts in situations where unique services are provided, and no specific code is available.

Under what category does Advance Care Planning, Each Additional 30 min fall?

Category I

What is the billing unit for Advance Care Planning, Each Additional 30 min?

Per Encounter

Modifiers

Clinical use

Prolonged physician service in the inpatient or observation setting, requiring direct patient contact beyond the usual service.

Documentation

Prolonged physician service in the inpatient setting, requiring at least 15 minutes beyond the usual service. Clearly document each additional 15-minute increment of prolonged inpatient service, including the start and end times, and describe the specific activities or discussions justifying the additional time. (Critical care, each additional 30 minutes)