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CPT CODE 99490

Lina Posted Mon 07th of August, 2017 12:47:23 PM
I HAVE A QUESTION REGARDING A CPT CODE 99490. CAN I APPLY THIS 99490 IF THE DOCTOR DID NOT SEE THE PATIENT FACE TO FACE ON SPECIFIC DOS, BUT HAD A CONVERSATION OVER THE PHONE REGARDING THE PATIENTS CHRONIC DIAGNOSIS?
SuperCoder Answered Tue 08th of August, 2017 03:51:50 AM
Lina Posted Tue 08th of August, 2017 09:37:14 AM
Hi, You did not answer my question AGAIN, it doesn't tell me in that link what I asked
SuperCoder Answered Wed 09th of August, 2017 06:47:13 AM

Hi,

Yes, you can bill CPT 99490 if doctor did not see the patient face to face on specific DOS, but had conversation over the phone regarding chronic diagnosis.

Please also check page no. 4 of below link:

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Downloads/Payment-Chronic-Care-Management-Services-FAQs.pdf

 

 

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