AMA CPT® Assistant - 2013 Issue 9 (September)
THEN and NOW: Care Plan Oversight Services (99374-99380) (September 2013)
September 2013 pages 15-16 CPT Assistant THEN and NOW As medical terminology and the performance of services and procedures change, so do the associated reporting methods. In this feature, we will regularly revisit previously published articles to correct, revise, update, and/or reiterate long- standing information. Care Plan Oversight Services (99374-99380) THEN Care plan oversight (CPO) services were initially reported with code 99375, Physician supervision of patients under care of home health agencies, hospice or nursing facility patients (patient not present) requiring complex or multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports...
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Article Overview
This article explains the evolution of care plan oversight reporting in CPT Assistant and summarizes the updated framework for CPT care plan oversight services. It is relevant to physicians, qualified health care professionals, coding professionals, and compliance staff who need to understand the current scope of the service family, the settings involved, and related reporting guidance discussed by the source.
Why This Topic Matters
Care plan oversight reporting has changed over time, and this article helps readers understand the updated CPT framework and how the service family is discussed in relation to other care management services. It matters for accurate coding review, documentation alignment, and avoiding overlap with related reporting categories.
Article Sections
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September 2013 pages 15-16
Introductory publication context for the CPT Assistant feature.
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THEN
Background on earlier care plan oversight reporting and how the service was described in prior CPT Assistant guidance.
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NOW
Updated care plan oversight reporting framework, including who may report the services and the types of patient settings addressed.
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Coding Tip
Brief reporting guidance discussing relationships between care plan oversight services and other care management categories.
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Coding Tip
Additional reporting guidance on when the service family should not be reported with certain visit or transition-related services.
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Coding Tip
Cross-reference guidance directing readers to related CPT care plan oversight and hospice agency references.
What You Will Learn
- How care plan oversight reporting changed over time
- What broad care settings are discussed in the updated guidance
- How the article frames the relationship between care plan oversight and related care management services
- Which CPT code family the article focuses on
Who Should Read This
- Physicians
- Qualified health care professionals
- Medical coders
- Billing staff
- Compliance professionals
Codes Discussed
Code Ranges Discussed
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