Management of Chronic Care

CPT code 99451 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.

Details

CPT code:

99451

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Non-Face-to-Face Services

Type:

Interprofessional Telephone/Internet/Electronic Health Record Consultations

In the landscape of E/M services, 99451 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 Management of Chronic Care fall?

Category I

What is the billing unit for Management of Chronic Care?

Per Encounter

Modifiers

-

Clinical use

Prolonged preventive service(s) (beyond the typical service time of the primary procedure) in the office or other outpatient setting.

Documentation

Prolonged service in the inpatient setting requiring direct patient contact beyond the usual service; first hour. Document the prolonged service, including the start and end times, and describe the specific activities or discussions that required the additional time.

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