Complex Chronic Care Management, Additional 30 min

Prolonged Evaluation and Management (E/M) services are crucial in certain situations, demanding precise coding to capture the extended nature of patient encounters. CPT code 99492 designates prolonged clinical staff service (clinical staff is required) in the office or other outpatient setting, requiring direct supervision by a physician or other qualified healthcare professional. This code is applied when clinical staff provides prolonged services in the office or other outpatient setting under the direct supervision of a physician or other qualified healthcare professional, extending beyond the typical duration of E/M services.

Details

CPT code:

99492

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Psychiatric Collaborative Care Management Services

Type:

Psychiatric Collaborative Care Management Services

99492 plays a crucial role in E/M services, representing prolonged clinical staff service in the office or other outpatient setting. Clinical staff, under the direct supervision of a physician or other qualified healthcare professional, utilizes this code when providing prolonged services, 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 outpatient setting.

Under what category does Complex Chronic Care Management, Additional 30 min fall?

Category I

What is the billing unit for Complex Chronic Care Management, Additional 30 min?

Per Encounter

Modifiers

-

Clinical use

Prolonged physician service in the inpatient or observation setting, requiring direct patient contact beyond the usual service.

Documentation

Prolonged physician service in the inpatient setting, requiring at least 15 minutes beyond the usual service. Clearly document each additional 15-minute increment of prolonged inpatient service, including the start and end times, and describe the specific activities or discussions justifying the additional time. (Critical care, each additional 30 minutes)

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