AMA CPT® Assistant - 2008 Issue 9 (September)
Case Management Services (September 2008)
September 2008 pages 3-4 Coding Communication:Case Management Services Case Management Services Guidelines In CPT 2008, case management services is defined as a process in which a physician or another qualified health care professional is primarily responsible for the direct care of a patient as well as coordinating, managing access to, initiating, and supervising other health care services needed by the patient. Medical Team Conferences In CPT 2008, revisions were made to the introductory paragraph under the "Case Management Services" section, which includes Medical Team Conferences. The previous Team Conferences codes (99361, 99362) were deleted, and new Medical Team Conference...
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Article Overview
This article explains the September 2008 CPT update on case management services, focusing on medical team conferences and the surrounding reporting guidance. It is useful for coders, billers, and clinical documentation staff who need to understand the general scope of the revised CPT guidance, the roles of participating professionals, and the broader types of E/M and care-coordination issues discussed in the article.
Why This Topic Matters
The article addresses a CPT revision that changed how team conference services are organized and reported, making it relevant for accurate medical coding, compliance, and documentation practices in care coordination settings.
Article Sections
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September 2008 pages 3-4
Introductory publication information for the article content.
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Coding Communication: Case Management Services
Overview of the CPT case management topic and the focus of the article on updated team conference guidance.
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Case Management Services Guidelines
General discussion of how case management services are defined within CPT 2008 and the role of coordinated care.
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Medical Team Conferences
Discussion of the revised medical team conference concept, the participating professionals involved, and the broader rationale for the CPT changes.
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Revised Guidelines
Summary of the updated guidance governing team conferences, including participation structure, documentation expectations, and timing-related considerations.
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Number of Participants Required
Explanation of the minimum participation framework and the general conditions for professionals taking part in a team conference.
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Typical Services Provided
Description of the kinds of activities associated with interdisciplinary team conferences and how they differ from routine provider communication.
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Physicians Reporting Face-to-Face Patient Contact as E/M
Discussion of physician reporting when patient contact is included and how those services relate to broader E/M reporting concepts.
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Additional Guidelines for Team Participants
Documentation and reporting expectations for participants, along with general restrictions on duplicate reporting and facility-based arrangements.
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Coding Rules Important in Reporting Team Conferences
General time, scope, and reporting considerations that affect how team conference services are tracked and associated with other services.
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Differences Between CPT Codes 99366, 99367, and 99368
High-level comparison of the newly revised team conference codes and the distinctions emphasized in the article.
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Coding Tip
Practical summary notes on related reporting concepts and how team conference services interact with other E/M or prolonged service reporting.
What You Will Learn
- How CPT 2008 updated the case management services framework
- What the article says about medical team conference participation
- What kinds of documentation and timing topics are covered
- How the article situates team conferences among other E/M and coordination services
- Which code sets and code groupings are discussed in the update
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician office staff
- Hospital documentation teams
- Care coordination staff
Codes Discussed
Code Ranges Discussed
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