||||||||||| xvii Quick Reference to 2019 CPT ® Pediatric Code Changes We have made every effort to include those procedures and services that are applicable to pediatric practices. However, revisions and/or additional codes may have been published subsequent to the date of this printing. This list does not include all changes made to Current Procedural Terminology (CPT®) 2019. Always refer to CPT 2019 for a complete listing of new codes, complete descriptions, and revisions. Any errata to CPT 2019 will be posted to the American Medial Association Web site, https://www.ama-assn.org/practice-management/errata- technical-corrections. These changes take effect January 1, 2019. Do not report the changes or codes prior to that. Quick Reference to 2019 CPT ® Pediatric Code Changes Evaluation and Management 2018 2019 99487–99490 Physician time may be included to support reporting of chronic care management services, but these codes were valued based on time of clinical staff. #●99491 Chronic care management services, provided personally by a physician or other qualified health care professional, at least 30 minutes of physician or other qualified health care professional time, 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 (See Chapter 12, Managing Chronic and Complex Conditions.) *0188T Remote real-time interac- tive video-conferenced critical care, evaluation and management of the critically ill or critically injured patient first 30–74 minutes *+0189T each additional 30 minutes No codes (See Chapter 18, Critical and Intensive Care, and Chapter 20, Digital Medicine Services: Technology-Enhanced Care Delivery.) 99446 Interprofessional tele- phone/Internet/electronic health record assessment and management service provided by a consultative physician including a verbal and writ- ten report to the patient’s treating/ requesting physician/qualified health care professional 5–10 minutes of medical consultative discussion and review 99447 11–20 minutes of medi- cal consultative discussion and review 99448 21–30 minutes of medi- cal consultative discussion and review 99449 31 minutes or more of medical consultative discussion and review ▲99446 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician including a verbal and written report to the patient’s treating/requesting physician/qualified health care professional 5–10 minutes of medical consultative discussion and review ▲99447 11–20 minutes of medical consultative discussion and review ▲99448 21–30 minutes of medical consultative discussion and review ▲99449 31 minutes or more of medical consultative discus- sion and review #●99451 Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician including a written report to the patient’s treating/requesting physician/qualified health care professional 5 or more minutes of medical consultative time #●99452 Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physi- cian/qualified health care professional 30 minutes (See Chapter 20, Digital Medicine Services: Technology-Enhanced Care Delivery.) Refer to Table 1-4 for full details. #, re-sequenced code ●, new code +, add-on code ▲, revised code ★, telemedicine code *, deleted code for 2019.
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