99423 Insurance Policy Changes

CPT 99423, in plain terms, covers A doctor provides ongoing care management for an established patient during an online or phone visit lasting over 20 minutes. CPT 99423 is referenced in 3 tracked payer policy changes from Alaska Medicaid, Maryland Medicaid, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 99423 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 99423 on AAPC