CPT Code 99427: Principal Care Management, Additional 30 Minutes
PCM, each additional 30 minutes
CPT 99427 is the add-on code for each additional 30 minutes of principal care management clinical staff time beyond the first 30 minutes.
What this code covers
Reported with 99426 as the primary code.
Each unit requires a full additional 30 minutes of documented time.
Subject to payer-specific monthly unit limits.
Billing and documentation notes
- Add-on code: requires 99426
- Each unit requires a complete additional 30 minutes
- Check payer policy for maximum monthly units
Related codes
CPT is a registered trademark of the American Medical Association. This page provides a general summary for educational purposes and is not a substitute for the official CPT code set, payer policy or professional coding judgment. Verify against current official descriptors and applicable payer policy before billing.
FAQ
CPT 99427, frequently asked questions questions
- What is CPT code 99427?
- CPT 99427 is the add-on code for each additional 30 minutes of principal care management clinical staff time beyond the first 30 minutes.
- What are the billing requirements for CPT 99427?
- Add-on code: requires 99426 Each unit requires a complete additional 30 minutes Check payer policy for maximum monthly units
- Does Healthcare SBC handle billing for 99427?
- Yes. Our certified coders bill 99427 routinely as part of full-service revenue cycle management, including documentation review, correct unit calculation where applicable, modifier application and denial management specific to this code.
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