Attention Provider Type 12 (Hospital, Outpatient): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed

Medicaid

 

Effective with claims with dates of service on or after July 1, 2021, provider type 12 (Hospital, Outpatient) may bill Current Procedural Terminology (CPT^®) code 99483 (Assessment of and Care Planning for Patient with Cognitive Impairment, typically 50 minutes) for recipients age 55 and older. No prior authorization is required unless the limitation of once per 180 days is exceeded.

 

For additional information please refer to: web_announcement_2611_20211018.pdf (nv.gov)

 

Attention Provider Types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician’s Assistant): Cognitive Assessment and Care Planning Procedure Code 99483 May Be Billed

 

Effective with claims with dates of service on or after July 1, 2021, provider types 20 (Physician, M.D., Osteopath, D.O.), 24 (Advanced Practice Registered Nurse) and 77 (Physician’s Assistant) may bill Current Procedural Terminology (CPT) code 99483 (Assessment of and Care Planning for Patient with Cognitive Impairment, typically 50 minutes) for recipients age 55 and older. No prior authorization is required unless the limitation of once per 180 days is exceeded.

 

For additional information please refer to: web_announcement_2554_20210805.pdf (nv.gov)

 

NVBCBS-CD-005109-22