Care plan oversight services, each additional 30 minutes

Prolonged Evaluation and Management (E/M) services are essential in certain situations, requiring precise coding to capture the extended nature of patient encounters. CPT code 99426 designates prolonged office or other outpatient evaluation and management (E/M) service for each additional 30 minutes, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with patients in the office or other outpatient setting, extending beyond the typical duration of E/M services for each additional 30 minutes.

CPT code:

99377

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Care Plan Oversight Services

Type:

Care Plan Oversight

99426 plays a crucial role in E/M services, representing prolonged service in the office or other outpatient setting for each additional 30 minutes. Healthcare providers utilize this code when engaging in prolonged face-to-face time with patients, extending beyond the usual duration of E/M services for each additional 30 minutes. Its application ensures accurate documentation of efforts in providing extended care during patient encounters in the outpatient setting.

Under what category does Care plan oversight services, each additional 30 minutes fall?

Category I

What is the billing unit for Care plan oversight services, each additional 30 minutes?

Per Encounter

Modifiers

Clinical use

Care plan oversight services, at least 30 minutes of physician or other qualified health care professional time per calendar month.

Documentation

Care plan oversight services for a patient in a hospice or home health care setting. Document the total duration of oversight services, including the start and end times, and describe the activities undertaken during the oversight, such as reviewing reports, communicating with the hospice or home health agency, and adjusting the care plan.