decisionhealth Newsletters, Part B News - 2024 Issue 9 (September)
How to code involvement of a case manager in an office visit
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Article Overview
This article addresses a coding question about a case manager’s involvement during an office visit, with attention to whether a separate report is appropriate and how the relevant HCPCS temporary code category is used. It is aimed at coders and billing staff working with office visit documentation, workers’ compensation situations, Medicaid-related HCPCS guidance, and visit-level evaluation and management reporting.
Why This Topic Matters
Questions about care coordination and case manager participation can affect whether services are reported separately or treated as part of the visit work. The article helps readers understand the scope of the temporary HCPCS code category and the documentation context that may matter for office visit coding.
What You Will Learn
- The general coding issue raised by a case manager’s presence during an office visit
- How the article situates the relevant HCPCS temporary code category
- How office visit documentation may relate to discussion of patient management
- Why visit-level time-based reporting may be relevant in some situations
- Which broader service categories are associated with HCPCS temporary codes
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Physician practice managers
- Workers’ compensation billers
Codes Discussed
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