tci ED Coding & Reimbursement Alert - 2020 Issue Q3

Reader Questions: Check Location for Cognitive Assessments

Question: What are the rules around reporting cognitive assessment code 99483? We are confused about the reporting requirements. New Mexico Subscriber Answer: Although most providers can report 99483 (Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: …) for a multidimensional assessment that includes cognition, function, and safety, the reality is that this may not be an option in the ED. CPT® includes a list of codes with which code 99483 may not...

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