Unplanned Visit During Regular Hours, 10 min

CPT code 99489 designates complex chronic care coordination services for patients requiring highly complex medical decision-making of two or more chronic conditions. This code is applied when healthcare providers engage in complex chronic care coordination for patients with two or more chronic conditions, necessitating highly complex medical decision-making.

Details

CPT code:

99489

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Care Management Services

Type:

Complex Chronic Care Management Services

In the landscape of chronic care coordination, 99489 holds significance, representing complex services for patients with two or more chronic conditions. Healthcare providers utilize this code when providing complex chronic care coordination that requires highly complex medical decision-making. Its use ensures accurate documentation of efforts in the comprehensive management of patients with highly complex chronic conditions.

Under what category does Unplanned Visit During Regular Hours, 10 min fall?

Category I

What is the billing unit for Unplanned Visit During Regular Hours, 10 min?

Per Encounter

Modifiers

-

Clinical use

Complex chronic care management services, with the following required elements: multiple chronic conditions expected to last at least 12 months or until the death of the patient.

Documentation

Intensive behavioral therapy for obesity, individual, with a face-to-face assessment and intervention with the patient. Document the face-to-face assessment, the individualized intervention plan, and any counseling or interventions provided during the session.

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