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Family Practice Coding Alert

Oversight Guidelines

According to CPT, the specific guidelines family physicians need to keep in mind when logging time toward care plan oversight services include:

Codes reflect time and services that occur during a calendar month;

Codes are reported separately from direct office/outpatient, hospital, home, nursing facility and domiciliary services;

Only one physician may report care plan oversight services for a given period of time;

Codes should not be used to report supervision of patient care unless the patient requires recurrent supervision of therapy; and

Work involved in very low-intensity or infrequent supervision services is included in the pre- and post-encounter work for home, office/outpatient and nursing home or domiciliary visit codes.