Care Plan Oversight, Moderate Complexity

CPT code 99483 designates transitional care management services with the following required elements: communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge and medical decision-making of at least moderate complexity during the service period. This code is applied when healthcare providers engage in transitional care management services, including communication with the patient or caregiver within 2 business days of discharge and medical decision-making of at least moderate complexity.

CPT code:

99483

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Cognitive Assessment and Care Plan Services

Type:

Cognitive Assessment and Care Plan Services

99483 holds significance in the landscape of transitional care management, representing services that include communication with patients or caregivers within 2 business days of discharge and medical decision-making of at least moderate complexity. Healthcare providers utilize this code to ensure accurate documentation of efforts in the comprehensive management of patients transitioning from one care setting to another.

Under what category does Care Plan Oversight, Moderate Complexity fall?

Category I

What is the billing unit for Care Plan Oversight, Moderate Complexity?

Per Encounter

Modifiers

Clinical use

Assessment and care planning for a patient with cognitive impairment, requiring an independent historian not present at the time of the visit, in the office or other outpatient, home or domiciliary or rest home.

Documentation

Assessment and care planning for patients with cognitive impairment, requiring an independent historian due to the cognitive impairment (e.g., surrogate, family, legally responsible individual). Document the cognitive impairment, the independent historian involved, and the assessment and care planning activities performed.