Critical Care, Evaluation and Management, each additional 30 min

CPT code 99458 designates remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month. This code is applied when healthcare providers engage in remote physiologic monitoring treatment management services, dedicating 20 minutes or more of time in a calendar month for interactive communication with the patient or caregiver.

Details

CPT code:

99458

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Special Evaluation and Management Services

Type:

Work Related or Medical Disability Evaluation Services

In the realm of remote physiologic monitoring, 99458 holds significance as a code representing treatment management services. Healthcare providers utilize this code when dedicating 20 minutes or more in a calendar month for interactive communication with patients or caregivers as part of remote monitoring efforts. Its use ensures accurate documentation of efforts in the comprehensive management of patients' physiologic data.

Under what category does Critical Care, Evaluation and Management, each additional 30 min fall?

Category I

What is the billing unit for Critical Care, Evaluation and Management, each additional 30 min?

Per Encounter

Modifiers

Clinical use

Care management services for behavioral health conditions, at least 150 minutes of clinical staff time, directed by a physician or other qualified healthcare professional, per calendar month.

Documentation

Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes. Clearly document each additional 20-minute increment of interactive communication and treatment management services, including the specific services provided and any adjustments made to the patient's treatment plan based on the remote monitoring data.