Preventive counseling, individual, 45 minutes

Chronic care management is integral to patient well-being, demanding precise coding to capture the comprehensive nature of patient care. CPT code 99403 designates preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting. This code is applied when healthcare providers engage in counseling or risk reduction interventions for individuals in a group setting, emphasizing the preventive nature of the services provided.

Details

CPT code:

99403

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Preventive Medicine Services - Counseling Risk Factor Reduction and Behavior Change Intervention

Type:

New or Established Patient- Preventive Medicine, Individual Counseling

In the realm of preventive medicine services, 99403 is a code that holds significance, representing counseling and/or risk reduction interventions provided to individuals in a group setting. Healthcare providers utilize this code when engaging in preventive medicine counseling or interventions, emphasizing the collective nature of the services delivered in a group setting. Its application ensures accurate documentation of efforts in providing comprehensive preventive care.

Under what category does Preventive counseling, individual, 45 minutes fall?

Category I

What is the billing unit for Preventive counseling, individual, 45 minutes?

Per Encounter

Modifiers

-

Clinical use

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual, 45 minutes.

Documentation

Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure). Document the counseling or intervention(s) provided, including the content, duration, and any patient education materials given. (each additional 15 minutes)

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