A patient who has a complicated medical history and presentation of cancer relapse has met with cardiology, pulmonology, oncology and general surgery. The main physician from each of these specialties is going to have a medical team conference with the patient and her family regarding her medical plan of care. This conference is estimated to take two hours to discuss all aspects of their recommendations. What is the correct evaluation and management CPT code for this type of medical conference?

Question

Quizplus · Accepted Answer

99366 is the correct code for a medical team conference lasting longer than 30 minutes where the patient and/or family members are present.
Code 99363 is incorrect because this code is used for anticoagulant management and there is no mention of anticoagulant therapy with this patient. Codes 99367 and 99368 are incorrect because these codes are for medical team conferences, but are codes used when patient and/or family are not present.

A Patient Who Has a Complicated Medical History and Presentation