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CPT Codes For Care Plan Oversight Services
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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.
This content may be outdated
This article was published more than 1 year ago. While we strive to keep our content up to date, medical coding guidelines and regulations may have changed since then.