Advanced Care Planning, First 30 min

CPT code 99491 designates complex chronic care coordination services for patients requiring highly complex medical decision-making of two or more chronic conditions. This code is applied when healthcare providers engage in complex chronic care coordination for patients with two or more chronic conditions, necessitating highly complex medical decision-making.

Details

CPT code:

99491

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Care Management Services

Type:

Chronic Care Management Services

In the landscape of chronic care coordination, 99491 plays a crucial role, representing complex services for patients with two or more chronic conditions. Healthcare providers utilize this code when providing complex chronic care coordination that requires highly complex medical decision-making. Its use ensures accurate documentation of efforts in the comprehensive management of patients with highly complex chronic conditions.

Under what category does Advanced Care Planning, First 30 min fall?

Category I

What is the billing unit for Advanced Care Planning, First 30 min?

Per Encounter

Modifiers

Clinical use

Complex chronic care management services, with the following required elements: multiple chronic conditions expected to last at least 12 months or until the death of the patient.

Documentation

Chronic care remote physiologic monitoring treatment management services, clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; initial 30 minutes. Document the interactive communication, the specific treatment management services provided, and any adjustments made to the patient's treatment plan based on the remote monitoring data. (each additional 30 minutes)