tci General Surgery Coding Alert - 2008 Issue 2

Reader Question: 'Team Conference' Isn't Separately Reportable

Question: Recently, our surgeon and several other specialists met for an hour to discuss treatment options for a severely injured patient. The patient was not present. Is this a billable service? Michigan Subscriber Answer: CPT provides two codes to describe the type of "team conference" you describe: case management codes 99361 (Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care [patient not present]; approximately 30 minutes) and 99362 (- approximately 60 minutes). For Medicare patients, however, these services are not billable. The Medicare physician fee schedule...

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