Education and Training for Patient Self-Management

CPT code 99471 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:

99471

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

In the realm of E/M services, 99471 plays a crucial role, 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 Education and Training for Patient Self-Management fall?

Category I

What is the billing unit for Education and Training for Patient Self-Management?

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; first hour.

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. (5-10 minutes)