Chester County Medicine Summer 2021 - 6

www . CHESTER CMS .or g
CPT Code 99483
Cognitive Assessment and
Care Plan Services
A
ccording to the Alzheimer's
Association 2021 Alzheimer's Disease
Facts and Figures, in 2021, more
than 1 in 9 people (11.3%) aged 65 years
and older has Alzheimer's dementia, costing
the nation $355 billion and killing more
people than breast cancer and prostate cancer
combined.
In light of this, we wanted to ask
for your assistance in raising awareness
and appropriate use of CPT code 99483
Cognitive Assessment and Care Plan
Services, Medicare-covered services to detect
and diagnose cognitive impairment.
Background:
Medicare covers a separate visit for a cognitive assessment
to allow clinicians to more thoroughly evaluate cognitive
function and help with care planning for patients with cognitive
impairment.
Effective January 1, 2021, CMS:
· Increased payment for these Medicare services to $282 (may
be geographically adjusted) when provided in an office setting,
· Added these services to the definition of primary care services
in the Medicare Shared Savings Program, and
· Permanently covers these services via telehealth.
Clinicians who report evaluation and management (E/M)
services, including: physicians (MD and DO), nurse practitioners,
clinical nurse specialists, and physician assistants, can offer and bill
Medicare for this service; and the assessment can be provided in a
number of locations such as in the home, an office or outpatient
setting, care facility, or via telehealth.
The assessment, which is typically a
50-minute, face-to-face visit, includes a
detailed history and patient exam, resulting in
a written care plan to address neuropsychiatric
symptoms, functional limitations and referral
to community resources as needed.
Resources Available:
We have several resources that may be
helpful to share with your stakeholders
through newsletters, listservs, or other
communications including:
· The CMS webpage on Cognitive
Assessments and Care Plan Services: www.
cms.gov/cognitive,
· An MLN Fact Sheet,
· A video for basic information on coverage, eligibility, and
billing for Cognitive Assessment and Care Plan Services,
· Our letter (PDF) to eligible health care providers, and
· Alzheimer's and Dementia Resources for Professionals.
Thank you for assisting us in raising awareness of these
important services and resources and please let us know if you have
any questions or if we can assist further in any way!
Dexter Glasgow
Office of Program Operations and Local Engagement
Centers for Medicare & Medicaid Services
801 Market Street Suite 9400
Philadelphia, PA 19107-3134
Phone: (215) 861-4173
Fax: (443) 380-7431
6 CHESTER COUNTY Medicine | SUMMER 2021
https://chestercms.org/index.html http://www.cms.gov/cognitive
Chester County Medicine Summer 2021

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