Results 1 to 5 of 5

Telephonic Nurse Case Manager code

  1. Default Telephonic Nurse Case Manager code
    Medical Coding Books
    Is there a code we can bill for telephonic nurse case management? The old codes 99371-99373 would have worked but the new 99441-99443 seem to specify physician to physician telephone contact. Please Help!

  2. #2
    Kingsport, TN
    Try 98966 through 98968

  3. Default
    98966 states services provided ba a qualified non physician to the patient, parent, or quardian. This would be for the nurse case manager. Usually they come with the patient and we bill the 99367 because we meet with them after seeing the patient separately but the request was made for the physician to call the nurse case manager to discuss the patient's treatment. Any other suggestions?

  4. #4
    If I remember correctly from a conference I went to, that's why they did away with the codes because they didn't want the phone calls to be 'nurse' because they were being abused- and so they changed them to 'physician' and added in the extra lingo about being patient initiated, and not originating from an E/M - so its harder to use. Ridiculous, I know.

    I will continue looking for printed material for you. In the mean time, I would check with one of your payers, and I know you hate to hear it, but you might have to use an unlisted code.

    but I will search for you!!

  5. #5
    Milwaukee WI
    Default 99339-40 or 99374-80?
    Care plan oversight services include "telephone calls" ... read the guidelines carefully. They're pretty detailed. You can only bill ONCE in a month, for the total time involved. Physician should probably maintain a detailed log for each patient to track time spent over the course of the month, and then bill out at the end of the month based on log book.

    F Tessa Bartels, CPC, CPC-E/M

Similar Threads

  1. Billing Nurse Case Manager
    By bellsmom in forum Orthopaedics
    Replies: 15
    Last Post: 10-28-2018, 05:18 PM
  2. Work Comp Nurse Case Manager Visit
    By ckkohler in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 10-24-2018, 05:50 AM
  3. Can I bill for a Nurse Case Manager visit?
    By sharipope in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 09-23-2014, 03:43 PM
  4. WC Nurse case manager visit
    By soprano in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-16-2012, 01:44 PM
  5. Billing for Nurse Case Manager.
    By nikkisgranny in forum Orthopaedics
    Replies: 0
    Last Post: 03-18-2008, 08:50 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.