EVALUATION & MANAGEMENT CPT CODES
New Codes – Advance Care Planning
99497 Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified healthcare professional; first 30 minutes face-to-face with the patient, family member(s), and/or surrogate
+99498 ; each additional 30 minutes
New code – Chronic Care Management
99490 Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified healthcare per calendar month, with the following required elements.

 

  • Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient;
  • Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline;
  • Comprehensive care plan established, implemented, revised, or monitored.
  • Chronic care management services of less than 20 minutes duration, in a calendar month, are not reported separately
Revised Codes – Chronic Care Management
99487 Complex chronic care management services, with the following required elements:

 

  • Multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient;
  • Chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline;
  • Comprehensive care plan established, implemented, revised, or monitored.
  • Moderate or high complexity medical decision making
  • 60 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month
+99489 ; each additional 30 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month (List separately in addition to code for primary procedure)Report 99489 in conjunction with 99487.
Deleted Codes – Neonatal Hypothermia
99481 Total body systemic hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure)
99482 Selective head hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure)
99488 Complex chronic care coordination services; first hour of clinical staff time directed by a physician or other qualified healthcare professional with one face-to-face visit, per calendar month