End of Life Care Planning

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 99437 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.

CPT code:

99437

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Non-Face-to-Face Services

Type:

Telephone Services

In the realm of E/M services, 99437 holds significance, 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 use ensures accurate documentation of efforts in providing extended care during patient encounters in the outpatient setting.

Under what category does End of Life Care Planning fall?

Category I

What is the billing unit for End of Life Care Planning?

Per Encounter

Modifiers

Clinical use

Prolonged physician service in the office or other outpatient setting requiring direct patient contact beyond the usual service.

Documentation

Prolonged physician service in the inpatient setting, requiring at least 30 minutes beyond the usual service. Clearly document each additional 30-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, first 30-74 minutes)