Audit-Ready Clinical Protocol
Recommended Codes
Logic Output
$0.00
Estimated Monthly Revenue
Before 2026, stopping before 16 days meant losing all device costs. The new 99445 classification allows reimbursement for 2-15 days, establishing a crucial financial floor for hardware programs.
Previously, 12 minutes of care was unbillable ($0). The new 99470 (10-19 mins) code ensures even brief, effective interactions are reimbursed (~$23), covering clinical labor costs.
CMS 2026 clarifies that management codes (99457/99470) must include synchronous contact (phone/video). Passive text/chart review is high-risk. Mandate 1 live call/month.
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