Special report, group health and other concurrent care

Prolonged Evaluation and Management (E/M) services are essential in certain situations, requiring precise coding to capture the extended nature of patient encounters. CPT code 99380 designates prolonged service 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 beyond the typical duration of E/M services.

Details

CPT code:

99380

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Care Plan Oversight Services

Type:

Care Plan Oversight

99380 is a crucial code in E/M services, representing prolonged service 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 use ensures accurate documentation of efforts in providing extended care during patient encounters in the inpatient setting.

Under what category does Special report, group health and other concurrent care fall?

Category I

What is the billing unit for Special report, group health and other concurrent care?

Per Encounter

Modifiers

Clinical use

Prolonged service in the inpatient setting, requiring direct patient contact beyond the usual service; first hour.

Documentation

Complex chronic care coordination services. Document the total duration of services, including the start and end times, and provide a detailed description of the activities performed, such as coordinating care with multiple providers, reviewing medical records, and developing or adjusting the care plan. (each additional 30 minutes)