Care Plan Oversight, Additional 30 min

CPT code 99486 designates assessment and care coordination for patients requiring moderate or high-complexity medical decision-making of two or more chronic conditions. This code is applied when healthcare providers engage in the assessment and care coordination of patients with two or more chronic conditions, necessitating moderate or high-complexity medical decision-making.

Details

CPT code:

99486

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Cognitive Assessment and Care Plan Services

Type:

Cognitive Assessment and Care Plan Services

In the landscape of care coordination, 99486 holds significance, representing services for patients with two or more chronic conditions. Healthcare providers utilize this code when providing assessment and care coordination that requires moderate or high-complexity medical decision-making. Its use ensures accurate documentation of efforts in the comprehensive management of patients with multiple chronic conditions.

Under what category does Care Plan Oversight, Additional 30 min fall?

Category I

What is the billing unit for Care Plan Oversight, Additional 30 min?

Per Encounter

Modifiers

-

Clinical use

Care management services for behavioral health conditions, at least 70 minutes of clinical staff time, directed by a physician or other qualified healthcare professional, per calendar month.

Documentation

Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified healthcare professional, per calendar month. Document the behavioral health conditions addressed, the clinical staff time spent, and the specific care management interventions provided. (each additional 20 minutes)

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