Care Plan Oversight, First 30 min

CPT code 99487 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:

99487

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Care Management Services

Type:

Complex Chronic Care Management Services

In the realm of chronic care coordination, 99487 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 application ensures accurate documentation of efforts in the comprehensive management of patients with highly complex chronic conditions.

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

Category I

What is the billing unit for Care Plan Oversight, 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

Complex chronic care management services, with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient; chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline; establishment or substantial revision of a comprehensive care plan. Document the chronic conditions, risk factors, and the comprehensive care plan, including the start and end times of the service. (each additional 30 minutes)