tci Medicare Compliance & Reimbursement - 2013 Issue 2

Reader Question: 'Case Management' Can Be Coded Various Ways

Question: Does CPT® include any procedure codes for case management, phone calls to patients, filling out forms, and coordinating the patient’s care? These things have become time-consuming for our practice. Answer: Yes, CPT® does include an increasing number of codes that might help you out. First, you should consider the 99441-99443 series for telephone evaluation and management services if you perform them. These codes are not simply for calling another clinician to chat about a patient’s condition. Rather, they are used for actual E/M services provided to the patient and performed over the phone. You’ll find...

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