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The CPT® Code 99071 refers to the provision of educational supplies, which may include items such as books, tapes, and pamphlets, specifically intended for the education of patients. These supplies are provided at the cost incurred by the physician or other qualified healthcare professional. The primary purpose of this code is to facilitate the billing process for these educational materials, which are essential for enhancing patient understanding and engagement in their own healthcare. By utilizing this code, healthcare providers can ensure that they are reimbursed for the expenses associated with these educational resources, which play a crucial role in patient education and empowerment. It is important to note that the patient is subsequently billed for these educational supplies, making it a vital component of the overall patient care and education strategy.
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The use of CPT® Code 99071 is indicated when educational supplies are necessary for enhancing patient understanding and compliance with their healthcare regimen. This may include situations where patients require additional information about their conditions, treatment options, or preventive care measures. The following are specific indications for the use of this code:
The procedure associated with CPT® Code 99071 involves the following steps:
After the provision of educational supplies, it is essential for the healthcare provider to follow up with the patient to ensure that they have understood the materials provided. This may involve discussing the contents of the educational supplies during subsequent visits or offering additional resources if needed. Providers should encourage patients to ask questions about the materials and clarify any uncertainties. Additionally, monitoring the patient's progress and understanding of their health condition can help reinforce the effectiveness of the educational supplies provided. There are no specific post-procedure care requirements associated with this code, but ongoing patient education and support are crucial for achieving optimal health outcomes.
| Short Descr | PATIENT EDUCATION MATERIALS | Medium Descr | EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST | Long Descr | Educational supplies, such as books, tapes, and pamphlets, for the patient's education at cost to physician or other qualified health care professional | Status Code | Bundled Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | Type of Service (TOS) | 9 - Other Medical Items or Services | Berenson-Eggers TOS (BETOS) | Y1 - Other - Medicare fee schedule | MUE | 0 | CCS Clinical Classification | 237 - Ancillary Services |
| GP | Services delivered under an outpatient physical therapy plan of care | 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | GO | Services delivered under an outpatient occupational therapy plan of care | GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | 25 | Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service: it may be necessary to indicate that on the day a procedure or service identified by a cpt code was performed, the patient's condition required a significant, separately identifiable e/m service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed. a significant, separately identifiable e/m service is defined or substantiated by documentation that satisfies the relevant criteria for the respective e/m service to be reported (see evaluation and management services guidelines for instructions on determining level of e/m service). the e/m service may be prompted by the symptom or condition for which the procedure and/or service was provided. as such, different diagnoses are not required for reporting of the e/m services on the same date. this circumstance may be reported by adding modifier 25 to the appropriate level of e/m service. note: this modifier is not used to report an e/m service that resulted in a decision to perform surgery. see modifier 57 for significant, separately identifiable non-e/m services, see modifier 59. | 95 | Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system: synchronous telemedicine service is defined as a real-time interaction between a physician or other qualified health care professional and a patient who is located at a distant site from the physician or other qualified health care professional. the totality of the communication of information exchanged between the physician or other qualified health care professional and the patient during the course of the synchronous telemedicine service must be of an amount and nature that would be sufficient to meet the key components and/or requirements of the same service when rendered via a face-to-face interaction. modifier 95 may only be appended to the services listed in appendix p. appendix p is the list of cpt codes for services that are typically performed face-to-face, but may be rendered via a real-time (synchronous) interactive audio and video telecommunications system. | GW | Service not related to the hospice patient's terminal condition | LT | Left side (used to identify procedures performed on the left side of the body) | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2013-01-01 | Changed | Description Changed |
| Pre-1990 | Added | Code added. |
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