Care Management

Cognitive Assessment

Table of Contents

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Billing Codes

  • 99483: 60 minute face-to-face

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Billing Information

  • Cognitive assessment is required to check for cognitive impairment as part of the annual wellness visit. (G0438, G0439)

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Documentation

Cognitive assessment includes a detailed history and patient exam. There must be an independent historian for assessments and corresponding care plans provided under CPT code 99483. An independent historian can be a parent, spouse, guardian or other individual who provides patient history when a patient isn’t able to provide complete or reliable medical history.

Typically, 60 minutes face-to-face with the patient and independent historian to perform the following elements during the cognitive assessment:

  • Examine the patient with a focus on observing cognition
  • Record and review the patient’s history, reports and records
  • Conduct a functional assessment of Basic and Instrumental Activities of Daily Living, including decision-making capacity
  • Use standardized instruments for staging of dementia like the FAST and CDR
  • Reconcile and review for high-risk medications, if applicable
  • Use standardized screening instruments to evaluate for neuropsychiatric and behavioral symptoms, including depression and anxiety
  • Conduct a safety evaluation for home and motor vehicle operation
  • Identify social supports including how much caregivers know and are willing to provide care
  • Address ACP and any palliative care needs

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Related Content

CMS Cognitive Assessment & Care Plan Services button
 

Reviewed 7/30/2024