Coding Guidelines for Principal Care Management – Retinal Physician
Unlike some other “care management” codes that require the physician manage a patient from head to toe, principal care management (PCM) is applicable to a specialty practice such as ophthalmology. This may be a useful addition to your retinal practice.
This article addresses the following questions:
- What is principal care management?
- What is “high risk” in this context?
- What are the required elements of PCM?
- How is PCM reported on a claim?
- What is Medicare’s allowable fee for PCM?
- Can PCM be combined with other services?
- What documentation is required to support a claim for PCM?
This article was published in Retinal Physician, which is written by Corcoran’s Executive Vice-President, Suzanne Corcoran, COE. To view the entire article in Retinal Physician, click on the link below: