New in E/M: Cognitive Assessment and Care Plan Services (April 2018)

April 2018 page 9 New in E/M: Cognitive Assessment and Care Plan Services For 2018, a new subsection has been created in the Evaluation and Management (E/M) section of the Current Procedural Terminology (CPT®) code set. Within this subsection, code 99483was created to report cognitive assessment and care plan services for patients with diagnosed cognitive impairment (eg, dementia). This includes managing symptoms and assessing patient decision-making abilities and other important factors, as outlined in the list of elements required to be performed in order to report this new code. Cognitive Assessment and Care Plan Services 99483Assessment of and...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT® Assistant article reviews a 2018 Evaluation and Management update focused on cognitive assessment and care plan services for patients with cognitive impairment. It is relevant to coders, billers, and clinicians who need to understand the new service category, the general reporting context, and the associated documentation and care-planning themes discussed in the article. The article also includes a clinical example and a procedural description that illustrate the type of encounter the new code is intended to capture.

Why This Topic Matters

The article helps readers understand a newly introduced CPT service category and how it fits within broader E/M reporting. It matters for accurate documentation, code selection awareness, and understanding the context of cognitive impairment care planning.

Article Sections

  1. April 2018 page 9

    Publication and page reference information for the article.

  2. New in E/M: Cognitive Assessment and Care Plan Services

    Overview of the new Evaluation and Management subsection and the general purpose of the service category for patients with cognitive impairment.

  3. Cognitive Assessment and Care Plan Services

    Summary of the service framework, required elements, reporting context, and related examples of care planning content.

  4. Clinical Example and Description of Service

    A sample patient scenario and a narrative description of a typical encounter illustrating the kind of care discussed in the article.

What You Will Learn

  • The general purpose of the new E/M subsection for cognitive assessment and care planning
  • The kinds of clinical and care-planning topics discussed in the article
  • The broader reporting context and documentation themes associated with the new service
  • How the article uses an example and service description to illustrate the service category

Who Should Read This

  • Medical coders
  • Billing staff
  • Clinical documentation specialists
  • Physicians and other qualified health care professionals
  • Compliance and revenue cycle professionals

Codes Discussed


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