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Code deleted. For domiciliary, rest home [eg, assisted living facility], or home care plan oversight services, see care management services codes 99437, 99491, or principal care management codes 99424, 99425.

Official Description

Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, 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

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Short Descr DOMICIL/R-HOME CARE SUPERVIS
Medium Descr INDIV PHYS SUPVJ HOME/DOM/R-HOME MO 30 MIN/>
Long Descr Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, 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
Status Code Bundled Code
Global Days XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC) 9 - Not Applicable
Multiple Procedures (51) 9 - Concept does not apply.
Bilateral Surgery (50) 9 - Concept does not apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 9 - Concept does not apply.
Co-Surgeons (62) 9 - Concept does not apply.
Team Surgery (66) 9 - Concept does not apply.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
Type of Service (TOS) 1 - Medical Care
Berenson-Eggers TOS (BETOS) Y1 - Other - Medicare fee schedule
MUE Not applicable/unspecified.
CCS Clinical Classification 227 - Other diagnostic procedures (interview, evaluation, consultation)
Date
Action
Notes
2022-12-31 Deleted Code deleted. For domiciliary, rest home [eg, assisted living facility], or home care plan oversight services, see care management services codes 99437, 99491, or principal care management codes 99424, 99425.
2021-01-01 Note AMA Guidelines changed.
2013-01-01 Changed Guideline information changed.
2006-01-01 Added First appearance in code book in 2006.
Code
Description
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