2025 CPT code 99071
(Active) Effective Date: N/A Revision Date: N/A Medicine - Adjunct Codes Medicine Services and Procedures > Special Services, Procedures and Reports Feed
Provides educational materials (books, tapes, pamphlets) to patients at the physician's expense for patient education.
Modifiers may not be applicable to this code.Consult payer guidelines before using any modifier.
Medical necessity is established by demonstrating that the educational materials are directly related to the patient's diagnosed condition and are necessary for appropriate management of their care.The materials must be considered beneficial to the patient's treatment and recovery.
The physician or other qualified healthcare professional is responsible for selecting and providing appropriate educational materials to the patient.
- Medicine Services and Procedures > Special Services, Procedures and Reports
- 99000-99082 (Adjunct codes)
In simple words: The doctor gives you materials like books or pamphlets to help you understand your health problem and treatment.The doctor pays for these materials.
This CPT code, 99071, represents the provision of educational supplies, such as books, tapes, and pamphlets, to patients at the cost of the physician or other qualified healthcare professional.These materials are intended to aid patient understanding of their medical conditions and treatment plans. The code is reported in addition to the primary E/M code for the encounter.Note that some payers may not reimburse for this service.
Example 1: A patient with newly diagnosed diabetes receives educational materials on managing blood glucose levels, diet, and exercise., A patient post-surgical procedure receives materials explaining the recovery process, wound care, and activity limitations., A patient with a chronic condition (e.g., heart failure) receives updated materials on medication management, dietary restrictions, and symptom recognition.
Documentation should include:1.Type of educational materials provided (e.g., books, pamphlets, videos).2.Specific condition(s) the materials address.3.Date the materials were provided.4.Confirmation that the patient received and understood the information.5. Note that the materials were provided at the physician's expense.
** This code is used to document the provision of educational materials, regardless of whether the payer reimburses for the service.It's crucial to check payer-specific policies for reimbursement information.
- Revenue Code: Y1 (OTHER - MEDICARE FEE SCHEDULE)
- RVU: Information not provided.RVUs would vary by payer and location. Consult the appropriate fee schedule for specific values.
- Global Days: Not applicable. This is an adjunct code, not a procedure with a global period.
- Payment Status: Active, but reimbursement varies by payer. Verify payer coverage before reporting.
- Modifier TC rule: Not applicable. This is an adjunct code, not a procedure with a technical component.
- Fee Schedule: Information not available in provided data.
- Specialties:All specialties may use this code when providing patient education.
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital, other applicable settings