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99380

Haissam Posted Wed 10th of December, 2014 11:47:38 AM

Please help bill the above code, I need to know the POS and what DOS to use.

SuperCoder Answered Wed 10th of December, 2014 12:23:41 PM

Thanks for your question. 99380; Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of related laboratory and other studies, communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s), family member(s), surrogate decision maker(s) (eg, legal guardian) and/or key caregiver(s) involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more is used for care plan oversight.Your place of service code should reflect the location that the patient is in at the time of the planning. Example, skilled nursing facility or nursing facility. Your date of service can be billed for the calendar month. For example, if your physician provided care plan oversight for the patient and tracked the time from the 1st of the month through the 20th of the month, you should have your from date of service as the 1st and the to date of service as the 20th. See below for additional information. Also attached is the Medicare claims processing manual. The information for this code begins at 30.6.13.

http://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf

https://www.supercoder.com/coding-newsletters/my-part-b-coding-alert/care-plan-oversight-stop-giving-away-your-cpo-services-for-free-109608-article

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