AMA CPT® Assistant - 2006 Issue 12 (December)
Evaluation and Management Services -- Care Plan Oversight Services (December 2006)
December 2006 pages 4-7 Coding Communication: Evaluation and Management Services -- Care Plan Oversight Services Evaluation and Management Services -- Care Plan Oversight Services The care plan oversight (CPO) services codes ( 99339 - 99340 , 99374 - 99380 ) are intended to report the services a physician provides when he or she oversees the care of the patient, indirectly (ie, not face-to-face) during an extended period of time (eg, 30 day period). The physician is directing and coordinating the care the patient receives from other health care professionals or agencies, family members, and/or other key caregivers. These codes are...
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Article Overview
This premium article covers care plan oversight services in Evaluation and Management, with emphasis on how the topic is organized by care setting and time-based reporting framework. It is intended for coding professionals who need to understand the general scope of CPT guidance, associated settings of care, and references to related Medicare materials and HCPCS codes. The article includes sectioned guidance, coding tips, and clinical examples that help readers determine whether the full article applies to their documentation and billing scenario.
Why This Topic Matters
Care plan oversight reporting can vary by setting and service time, so this article helps coders and billing staff understand the categories addressed in the source guidance and how the information is structured. It is relevant when reviewing physician supervision services that are not face-to-face and when checking for references to related policy resources.
Article Sections
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December 2006 pages 4-7
Introductory publication details and the overall topic area for the coding communication.
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Evaluation and Management Services -- Care Plan Oversight Services
Overview of the care plan oversight subject, including the general time-based framework and the types of activities discussed.
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Home Health Agency Setting
Guidance related to care plan oversight services in a home health agency context, including associated examples and time-based reporting discussion.
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Hospice Setting
Guidance related to care plan oversight services in hospice, with the related time-based service categories addressed in the article.
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Nursing Facility Setting
Guidance related to care plan oversight services in nursing facilities, including the corresponding time-based categories.
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Coding Tip
General coding guidance and cross-references discussing how the topic relates to other physician service categories and related policy resources.
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Non-Home Health/Hospice and Non-Nursing Facility Settings
Guidance for care plan oversight services outside home health, hospice, and nursing facility settings, including related examples and coding tips.
What You Will Learn
- How the article organizes care plan oversight guidance by setting
- What general types of service activities are discussed for care plan oversight
- Which supporting policy resources and related code families are referenced
- How the article distinguishes the major reporting contexts covered in the December 2006 communication
Who Should Read This
- Medical coders
- Coding auditors
- Physician billing staff
- Compliance professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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