Philadelphia Medicine Fall 2021 - 26

philamedsoc .org
FEATURE
Assessing
cognitive care,
other services
A
lzheimer's dementia affects one in nine people age 65 and
older and kills more than breast and prostate cancer combined.
The Centers for Medicare & Medicaid Services has taken
steps to address this public health crisis by increasing payment for
and expanding access to cognitive assessment and care plan services.
Effective Jan. 1, 2021, Medicare increased payment for these
services to $282 (this 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 covered these services via telehealth.
Here are some things to know about the Cognitive Assessment
& Care Plan services:
* If your patient shows signs of cognitive impairment at an annual
wellness visit (AWV) or other routine visit, you may perform
a more detailed cognitive assessment and develop a care plan.
* The Cognitive Assessment & Care Plan Services (CPT code
99483) typically start with a 50-minute face-to-face visit that
includes a detailed history and patient exam, resulting in a
written care plan.
* If you report evaluation and management (E/M) services, you
can offer this service, including physicians (MD and DO), nurse
practitioners, clinical nurse specialists and physician assistants.
* Use CPT code 99483 to bill for this service. Part B coinsurance
and deductible apply. You may bill this code separately from
the AWV.
Please review more detail on Medicare coverage requirements
and billing standards at www.cms.gov/cognitive.
And, for more information on assessing cognitive impairment,
please refer to the Alzheimer's disease and Dementia Resources for
Professionals webpage at https://www.nia.nih.gov/health/alzheimers-dementia-resources-for-professionals.
*
26 Philadelphia Medicine : Fall 2021
http://philamedsoc.org http://www.cms.gov/cognitive

Philadelphia Medicine Fall 2021

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