Medical team conference of healthcare professionals, patient and/or family, 30 minutes or more

Prolonged Evaluation and Management (E/M) services are crucial in certain situations, requiring precise coding to capture the extended nature of patient encounters. CPT code 99422 designates prolonged office or other outpatient evaluation and management (E/M) service for each additional 30 minutes, 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 each additional 30 minutes.

Details

CPT code:

99367

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Case Management Services

Type:

Medical Team Conference, Without Direct (Face-to-Face) Contact With Patient and/or Family

99422 plays a crucial role in E/M services, representing prolonged service in the office or other outpatient setting for each additional 30 minutes. Healthcare providers utilize this code when engaging in prolonged face-to-face time with patients, extending beyond the usual duration of E/M services for each additional 30 minutes. Its application 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, 30 minutes or more fall?

Category I

What is the billing unit for Medical team conference of healthcare professionals, patient and/or family, 30 minutes or more?

Per Encounter

Modifiers

Clinical use

Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more.

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. (each additional 30 minutes)