Complex Chronic Care Management, 60 min

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 99472 designates prolonged services in the inpatient setting, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with inpatients, extending beyond the typical duration of E/M services.

Details

CPT code:

99472

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services

Type:

Inpatient Neonatal and Pediatric Critical Care

99472 plays a crucial role in E/M services, representing prolonged services in the inpatient setting. Healthcare providers utilize this code when engaging in prolonged face-to-face time with inpatients, extending beyond the usual duration of E/M services. Its application ensures accurate documentation of efforts in providing extended care during patient encounters in the inpatient setting.

Under what category does Complex Chronic Care Management, 60 min fall?

Category I

What is the billing unit for Complex Chronic Care Management, 60 min?

Per Encounter

Modifiers

-

Clinical use

Prolonged clinical staff service (the service beyond the typical service time) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additional 30 minutes.

Documentation

Interprofessional telephone/internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified healthcare professional. Document the assessment and management service, the communication with the treating/requesting physician, and the verbal and written report. (11-20 minutes)

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