CPT 99483 is defined as 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.
Providers can bill CPT 99483, which must include all the following required elements:
- Cognition-focused evaluation, including a pertinent history and examination;
- Medical decision-making of moderate or high complexity;
- Functional assessment (e.g., basic and instrumental activities of daily living), including evaluation of decision-making capacity;
- Use of standardized instruments for staging of dementia (ego, function assessment staging test (FAST), clinical dementia rating (CDR);
- Medication reconciliation and review for high-risk medications;
- Evaluation for neuropsychiatric and behavioral symptoms, including depression, using standardized screening instruments(s);
- Evaluation of safety (e.g., home), including motor vehicle operation;
- Identification of caregiver(s), and the caregiver’s knowledge, needs, social support, and willingness to provide care;
- Development, updating or revision, or review of an Advance Care Plan;
- Creation of a written care plan, including:
- Initial plans to address any neuropsychiatric and neuro-cognitive symptoms
- Function limitations
- Referral to community resources as needed (e.g., rehabilitation services, adult day programs, support groups)
- Education and support for patients and/or caregiver
Contact
NCTracks Call Center: 888-245-0179