AMA CPT® Assistant - 2017 Issue 4 (April)

Evaluation and Management: Care Management Services (Q&A) (April 2017)

April 2017 page 9 Evaluation and Management: Care Management Services Question: How many times may code 99489 be reported, given that the time frame specified within the code descriptor is "per calendar month?" Answer: The time frame "per calendar month" refers to how often codes 99487 and 99489 may be reported and not how many units of service. The instructions in the Complex Chronic Care Management Services subsection direct physicians or qualified health care professionals (QHPs) to sum up clinical staff care management time providing complex chronic care management services to a patient in a calendar month and...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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