In an recent blog, we explained a relatively new CMS service: the Cognitive Assessment and Care Plan Services (CPT 99483). As explained, this code can be reported for a specific visit where the provider conducts a cognitive assessment to more thoroughly evaluate cognitive function and help with care planning for patients with cognitive impairment.
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.
Payment for this service in Florida, according to the Medicare Physician Fee Schedule, is:
- $290.28 for providers in Locality 03
- $300.09 for providers in Locality 04
- $277.81 for providers in Locality 99
As important as the payment is the focus on helping the beneficiary by crafting a plan designed to deepen the dialogue concerning dementia and the services needed to keep the individual safe and in the home. Effective January 1, 2021, this service is permanently covered via telehealth.