CPT 99483 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Assessment Of And Care Planning For A Patient Withcognitive Impairment Requiring An Independent Historian In The Office Or Other Outpatient Home Or Domiciliary Or Rest Home With All Of The Following Required Elements:Cognition-Focused Evaluation Including A Pertinent History And Examination Medical Decision Making Of Moderate Or High Complexity;Functional Assessment Including Decision-Making Capacity Use Of Standardized Instruments For Staging Typically 60 Mins Of Total (Desc Rvsd 1/1/23)

Key Fact	Detail
Service Type	• Evaluation and Management • Cognitive Assessment and Care Plan Services
Common Place of Service	• 11 - Office • None
Common Modifiers	• None • 25 - Significant, separately identifiable E/M service same day • 95 - Telemedicine - audio and video
Complexity Level	Moderate

National average reimbursement for CPT 99483 by major payers:

$288.87

$314.28

$299.61

$419.27

Preview provider-level rates for...

For billing codeCPT 99483

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99483
United	99483	$147.82	1598719338 - CHINONYEREM NDUBUEZE	638501443	TX	Internal Medicine Physician (207R00000X)
United	99483	$238.72	1336438878 - ERIC MADARANG	842805421 - (TX) HERE OR THERE HEALTHCARE PLLC	TX	Internal Medicine Physician (207R00000X)
United	99483	$255.36	1851639694 - SHAFRAZ MOHAMMED	202798379 - (TX) CLEAR LAKE SPECIALTIES, PA	TX	Internal Medicine Physician (207R00000X)
United	99483	$288.88	1669868568 - PIERRE MONVERDY AGNANT	475554737 - (TX) MMH PHYSICIANS	TX	Internal Medicine Physician (207R00000X)
United	99483	$378.22	1942684840 - RAUL MERCADO GARCIA	956130458 - EISENHOWER MEDICAL CENTER	TX	Cardiovascular Disease Physician (207RC0000X)
United	99483	$314.50	1508033192 - ERIN REED	271371893	TX	Internal Medicine Physician (207R00000X)
United	99483	$251.60	1457799355 - MOHAMMED SUHAIL	461147371 - (TX) FREEDOM HEALTH CENTERS PLLC	TX	Internal Medicine Physician (207R00000X)
United	99483	$427.82	1548670961 - VIKRAM GILL	311351965 - OHIOHEALTH CORPORATION	TX	Internal Medicine Physician (207R00000X)
United	99483	$857.34	1659991669 - MUJAHED ABUALFOUL	752613493 - TEXAS HEALTH PHYSICIANS GROUP	TX	Internal Medicine Physician (207R00000X)
United	99483	$221.75	1790881373 - MICHAEL SMITH	760453250 - (TX) BAPTIST PHYSICIAN NETWORK	TX	Cardiovascular Disease Physician (207RC0000X)
United	99483	$212.21	1194728535 - JENNIFER YORK	201485484 - (TX) JENNIFER YORK MD PA	TX	Neurology Physician (2084N0400X)
United	99483	$562.88	1912936725 - MAZEN ALMIDANI	450310462 - ALTRU HEALTH SYSTEM	TX	Neurology Physician (2084N0400X)
United	99483	$447.13	1992978910 - ILEVBA OSARENKHOE	452525763 - (MD) MDICS AT CIVISTA LLC	MA	Pediatrics Physician (208000000X)
United	99483	$247.78	1598070799 - CHRISTINA PARUTHI	760458535 - BAYLOR ST LUKES MEDICAL GROUP	TX	Cardiovascular Disease Physician (207RC0000X)
United	99483	$235.19	1881615045 - AMER ALANBARI	752472510	TX	Internal Medicine Physician (207R00000X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 99483 vs. Other Cognitive Assessment and Care Plan Services Codes

The CPT 99483 code is part of the Evaluation and Management services used for Cognitive Assessment and Care Plan Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 99483 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
99350	High	Home Or Residence Visit For The Evaluation And Management Of An Established Patient Which Requires A Medically Appropriate History And/Or Examination And High Level Of Medical Decision Making. When Using Total Time On The Date Of The Encounter For Code Selection 60 Minutes Must Be Met Or Exceeded.(Desc Rvsd 1/1/23)
99483	Moderate	Assessment Of And Care Planning For A Patient Withcognitive Impairment Requiring An Independent Historian In The Office Or Other Outpatient Home Or Domiciliary Or Rest Home With All Of The Following Required Elements:Cognition-Focused Evaluation Including A Pertinent History And Examination Medical Decision Making Of Moderate Or High Complexity;Functional Assessment Including Decision-Making Capacity Use Of Standardized Instruments For Staging Typically 60 Mins Of Total (Desc Rvsd 1/1/23)
99484	Low	Care Management Services For Behavioral Health Conditions At Least 20 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional Per Calendar Month Withthe Following Required Elements: Initial Assessment Or Follow-Up Monitoring Including The Use Of Applicable Validated Rating Scales; Behavioral Health Care Planning In Relation To Behavioral/Psychiatric Health Problems Including Revision For Patients Who Are (Desc Rvsd 1/1/22)
99487	Low	Complex Chronic Care Management Services With The Following Required Elements: Multiple (Two Or More) Chronic Conditions Expected To Last At Least 12 Months, Or Until The Death Of The Patient, Chronic Conditions Place The Patient At Significant Risk Of Death, Acute Exacerbation/Decompensation, Or Functional Decline, Comprehensive Care Plan Established, Implemented, Revised, Or Monitored, Moderate Or High Complexity Medical Decision Making;First 60 Minutes Of Clinical Staff Time Directed By A Physician Or Other Qualified Health Care Professional, Per Calendar Month.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99483. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 99483 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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