AHA Coding Clinic® for HCPCS - 2015 Issue 2; For Your Information
Coding and reporting requirements for CPT code 99490
CPT code 99490 cannot be reported during the same service period as CPT codes: 99495-99496 (transitional care management) 90951-90970 (certain End-Stage Renal Disease services) HCPCS codes G0181-G0182 (home health care supervision/hospice care supervision) The coder should also follow the CPT coding instructions for CPT code 99490 for additional guidance regarding codes that cannot be reported during the same service period For more information regarding reporting guidance for chronic care management services go to http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Federal-Regulation-Notices.html. ...
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Article Overview
This article explains reporting limitations tied to chronic care management guidance and points readers to related CPT instructions and a CMS resource for additional context. It is aimed at coders and billing staff who need to understand where this guidance fits among overlapping service categories and compliance references.
Why This Topic Matters
It helps coding professionals recognize when chronic care management reporting may conflict with other service periods and where to look for related federal guidance.
What You Will Learn
- Which broad categories of services are identified as overlapping with chronic care management guidance.
- Where the article directs readers for additional CPT and CMS reporting guidance.
- How the article frames reporting restrictions in relation to the same service period.
- Which organizations or reference sources are mentioned for further information.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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