Team Conference

Team Conference

Effective 1/1/08 Medical  Team Conference with direct (face-to-face) contact with patient and /or family by a physician  has been deleted.   You may report using (E&M) codes using time as the key controlling factor for code selection when counseling and/or coordination of care dominates the service

• Include face to face participation by a minimum of three qualified healthcare professionals from different specialties (each of whom provide direct care to the patient).
• Participate is actively involved in the development, revision, coordination and implementation of healthcare services needed by the patient.
• Reporting participants shall have performed face to face evaluations or treatments of the patient, independent of any care team conference, within the past 60 days.
• Reporting participants shall document their participation in the team conference as well as their contributed information and subsequent treatment recommendations.
• Only one individual from the same speciality may report team conference at the same encounter.
• Time starts at the beginning of the review of an individual patient and ends at the conclusion of the review.
• The reporting participant shall be present for all time reported.
• Time is not limited to the time that the participant is communicating to other team members or patient and/or family members.
• Time reported for medical team conferences may not be used in the determination of time for other services such as care plan oversight, prolonged services, psychotherapy or any E/M service. 
• Team conference services of less than 30 minutes duration are not reported separately.
• Code determined based on whether the visit is with or without direct face-to-face contact with patient and/or family and the credentials of billing provider.

Medical Team Conference, Direct (face-to-face) contact with patient and/or family

99366

• Face-to-face, contact with patient and/or family, 30 minutes or more
• Only reported by non-physician qualified healthcare professional

Physicians may report this service using (E&M) codes using time as the key controlling factor for code selection when counseling and/or coordination of care dominates the service)

Medical Team Conference, Without Direct (face-to-face) contact with patient and/or family

99367

• Non Face-to-face contact with patient and/or family, 30 minutes or more
• Reported by physician

99368

• Non Face-to-face contact with patient and/or family, 30 minutes or more s.
• Only reported by nonphysician qualified healthcare professional

Updated: 5/16/08