Medical Coding Rights

A patient presents with cognitive impairment and or identified during the encounter then Medicare covers a separate visit for a cognitive assessment. So, the provider can more thoroughly evaluate the patients for cognitive function and help with care planning. Any clinician eligible to report evaluation and management services can offer this service, including physicians (MD and DO), nurse practitioners, clinical nurse specialists, and physician assistants. The Cognitive Assessment & Care Plan Services (CPT code 99483) typically start with a 50-minute face-to-face visit that includes a detailed history and patient exam. The physician can collect the information from the physical examination to create a written care plan. The resulting written care plan includes initial plans to address as following, Neuropsychiatric symptoms Neurocognitive symptoms Functional limitations The Patient and or caregiver referrals to community resources, as needed, with initial education and support. Ef

Cognitive assessment and care plan services are provided when a comprehensive evaluation of a new or existing patient, who exhibits signs and/or symptoms of cognitive impairment, is required to establish or confirm a diagnosis, etiology, and severity for the condition. Do not report cognitive assessment and care plan services if any of the required elements are not performed or are  deemed unnecessary for the patient’s condition A single physician or other qualified health care professional should not report 99483 more than once every 180 days. CPT code 99483 provides reimbursement to physicians and other eligible billing practitioners for a comprehensive clinical visit that results in a written care plan Eligible Provider Any provider is eligible to report E/M services can provide this service. Eligible providers include physicians MD and DO, nurse practitioners, clinical nurse specialists, and physician assistants .  Eligible practitioners must provide documentation that supports a m

The CMS to conduct provider outreach and education for the Medicare-covered Cognitive Assessment & Care Plan Services for CPT code 99483 to increase awareness of this service and its eligibility requirements. The CMC sending education document, including a direct mailing, from the Medicare Administrative Contractors (MACs) to eligible clinicians.  For about Medicare-covered Cognitive Assessment & Care Plan Services. The education and mailing will raise general awareness of the benefit and provide information on eligibility and billing. Eligible Providers Physicians,  Nurse practitioners,  Clinical nurse specialists,  Certified nurse-midwives Physician assistants Eligible Patients All beneficiaries who are cognitively impaired are eligible to receive the services under the code.  This includes those who have been diagnosed with Alzheimer’s, other dementias, or mild cognitive impairment . But, it also includes those individuals without a clinical diagnosis who, in the judgment of