In simple words: This code covers a doctor or qualified healthcare provider's work overseeing a patient's care plan managed by a home health agency. The doctor doesn't directly see the patient but spends 15-29 minutes each month coordinating care, reviewing reports, talking to other healthcare providers and family, and adjusting the plan as needed.

This CPT code, 99374, represents the physician's or qualified non-physician provider's supervision of a patient under the care of a home health agency.The patient is not present during this supervision. This involves complex and multidisciplinary care, including regular development and/or revision of care plans, review of patient status reports, review of lab results and other studies, communication (including phone calls) with healthcare professionals, family, surrogate decision-makers, or caregivers, integration of new information into the treatment plan, and adjustment of medical therapy.The total time spent on these activities within a calendar month must be between 15 and 29 minutes.This code should not be used for supervision of patients in nursing facilities or under home health agencies unless recurrent therapy supervision is needed.It is also not reported for supervision of patients in nursing facilities or under the care of home health agencies unless they require recurrent supervision of therapy.

Example 1: A 78-year-old patient with congestive heart failure is discharged home with home healthcare services.The physician uses code 99374 to document the monthly oversight of this patient's care plan, including coordinating care between the home health nurse, cardiologist, and physical therapist., A 65-year-old patient with recently diagnosed diabetes is under the care of a home healthcare agency. The physician uses 99374 to bill for coordinating care, reviewing the home health reports, and adjusting the medication regimen based on blood sugar levels and other reports received from the home healthcare agency., An 80-year-old patient recovering from a stroke is receiving rehabilitation services at home.The physician reviews the progress reports from the home health therapist and adjusts the treatment plan accordingly, spending between 15-29 minutes per month on these activities. Code 99374 is used to bill for this supervision.

Detailed documentation of the time spent on each activity (care plan development/revision, report reviews, communication with other providers, etc.), the specific care plan adjustments made, and the rationale behind those adjustments.Documentation should also include the date of each contact and method of communication (phone, fax, email). Copies of reports reviewed and communications with other providers should be included.

** The time spent on each component of the service should be documented to support medical necessity and proper coding. The code should only be reported for the individual with the sole or predominant supervisory role.