Medical team conference of healthcare professionals, patient and/or family

CPT code 99421 designates prolonged office or other outpatient evaluation and management (E/M) service for the first hour, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with patients in the office or other outpatient setting, extending beyond the typical duration of E/M services for the first hour.

Details

CPT code:

99366

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Case Management Services

Type:

Medical Team Conference, Direct (Face-to-Face) Contact With Patient and/or Family

In the realm of E/M services, 99421 plays a crucial role, representing prolonged service in the office or other outpatient setting for the first hour. Healthcare providers utilize this code when engaging in prolonged face-to-face time with patients, extending beyond the usual duration of E/M services during the initial hour. Its use ensures accurate documentation of efforts in providing extended care during patient encounters in the outpatient setting.

Under what category does Medical team conference of healthcare professionals, patient and/or family fall?

Category I

What is the billing unit for Medical team conference of healthcare professionals, patient and/or family?

Per Encounter

Modifiers

-

Clinical use

Non-face-to-face service provided by a physician or other qualified health care professional within a calendar month.

Documentation

Medical team conference with interdisciplinary team of healthcare professionals, patient, and/or family, face-to-face, including a review of patient care status, discussion of medical management/evaluation of the patient, and coordination of care. Document the attendees, discussions, decisions, and a summary of the patient's care plan.

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