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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Article Overview
This article reviews a care management coding question tied to evaluation and management services and explains the monthly reporting framework discussed in the CPT guidance. It is aimed at coders, billing staff, and clinicians who work with chronic care management documentation and reporting conventions. The piece focuses on general CPT reporting context for complex chronic care management services and the timing concept associated with calendar-month reporting.
Why This Topic Matters
Understanding the monthly reporting framework helps coding and billing teams apply care management guidance consistently and avoid confusion about how time is accumulated and reported within the CPT structure.
Article Sections
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April 2017 page 9
The article presents a single Q&A item on care management reporting within evaluation and management guidance. It addresses monthly reporting concepts for chronic care management services.
What You Will Learn
- The article’s general focus within evaluation and management care management services
- How the discussion frames monthly reporting for complex chronic care management services
- Why the question is relevant to CPT reporting workflows
- What type of guidance the Q&A provides for coders and clinicians
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Physicians
- Qualified health care professionals
- Practice managers
Codes Discussed
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