Cognitive Assessment & Care Plan Services

Published 05/26/2021

If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan – use CPT code 99483 to bill for this service.

Effective January 1, 2021, Medicare increased payment for these 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 covered these services via telehealth. Use CPT code 99483 to bill for both in-person and telehealth services.

Visit the Medicare Cognitive Assessment & Care Plan Services webpage for more information.

Watch this CMS video for basic information on coverage, eligibility, and billing for Cognitive Assessment & Care Plan Services.

JJ Part B Video

JM Part B Video

RRM Video

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