CPT Codes For Care Plan Oversight Services

Below is a list summarizing the CPT codes for care plan oversight services.

CPT Code 99374

CPT 99374 describes the supervision of a complex and multidisciplinary care plan for a patient in a home, domiciliary, or equivalent environment, including regular development and/or revision of care plans, review of patient status reports, communication with health care professionals, family members, and/or key caregivers, and integration of new information into the medical treatment plan, within a calendar month for 15-29 minutes.

CPT Code 99375

CPT 99375 describes the provision of complex and multidisciplinary care modalities for a patient under the care of a home health agency, including regular development and/or revision of care plans, review of patient status reports, communication with health care professionals, family members, and/or key caregivers, and integration of new information into the medical treatment plan, all within a calendar month for 30 minutes or more.

CPT Code 99377

CPT 99377 describes the supervision of a hospice patient requiring complex and multidisciplinary care modalities, involving regular development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication with health care professionals, family members, surrogate decision-makers, and/or key caregivers, integration of new information into the medical treatment plan, and/or adjustment of medical therapy, within a calendar month for 15-29 minutes.

CPT Code 99378

CPT 99378 describes the provision of complex and multidisciplinary care modalities for a hospice patient (patient not present) requiring regular development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), the surrogate decision-maker (s) (e.g., legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; for 30 minutes or more.

CPT Code 99379

CPT 99379 describes the provision of 15-29 minutes of complex and multidisciplinary care modalities involving regular development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), the surrogate decision-maker (s) (e.g., legal guardian) and/or key caregiver(s) involved in patient’s care, and integration of new information into the medical treatment plan and/or adjustment of medical therapy for a nursing facility patient (patient not present) within a calendar month.

CPT Code 99380

CPT 99380 describes the provision of complex and multidisciplinary care modalities for a nursing facility patient (patient not present) requiring regular development and/or revision of care plans, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), the surrogate decision-maker (s) (e.g., legal guardian) and/or key caregiver(s) involved in patient’s care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; for 30 minutes or more.