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.

CPT code:

99472

Category:

Category I

Section:

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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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Additional CPT Codes

Prolonged evaluation and management service before and/or after direct patient care, each additional 15 minutes

Explore Evaluation and Management CPT Codes

CPT Code

99360

Prolonged evaluation and management service before and/or after direct patient care, each additional 15 minutes

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Prolonged office or other outpatient evaluation and management service(s), each additional 15 minutes

Explore Evaluation and Management CPT Codes

CPT Code

99418

Prolonged office or other outpatient evaluation and management service(s), each additional 15 minutes

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Hospital discharge day management, straightforward complexity

Explore Evaluation and Management CPT Codes

CPT Code

99238

Hospital discharge day management, straightforward complexity

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Complex Chronic Care Management, 60 min

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Details

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

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

Modifiers

Clinical use

Documentation

Upvio is helping you save valuable time with streamlined workflows and integrated tools.

Additional CPT Codes

Prolonged evaluation and management service before and/or after direct patient care, each additional 15 minutes

Prolonged office or other outpatient evaluation and management service(s), each additional 15 minutes

Hospital discharge day management, straightforward complexity