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CPT 99483 Fee Schedule

Last Verified: July 2026

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.

Assmt Care Pln Pt Cog Imp, Assessment Of And Care Planning For A Patient With Cognitive 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 Eg Basic And Instrumental Activities Of Daily Living Including Decision Making Capacity Use Of Standardized Instruments For Staging Of Dementia Eg Functional Assessment Staging Test Fast Clinical Dementia Rating Cdr Medication Reconciliation And Review For High Risk Medications Evaluation For Neuropsychiatric And Behavioral Symptoms Including Depression Including Use Of Standardized Screening Instrument S Evaluation Of Safety Eg Home Including Motor Vehicle Operation Identification Of Caregiver S Caregiver Knowledge Caregiver Needs Social Supports And The Willingness Of Caregiver To Take On Caregiving Tasks Development Updating Or Revision Or Review Of An Advance Care Plan Creation Of A Written Care Plan Including Initial Plans To Address Any Neuropsychiatric Symptoms Neuro Cognitive Symptoms Functional Limitations And Referral To Community Resources As Needed Eg Rehabilitation Services Adult Day Programs Support Groups Shared With The Patient And Or Caregiver With Initial Education And Support Typically 60 Minutes Of Total Time Is Spent On The Date Of The Encounter
Key FactDetail
Service Type

Cognitive Assessment and Care Plan Services

Evaluation and Management

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 LevelModerate
Medicare Fee ScheduleView Medicare rates for 99483

National average reimbursement for CPT 99483 by major payers:

bcbs

$288.87

uhc

$314.28

aetna

$299.61

cigna

$407.23

Preview provider-level rates for...
For billing codeCPT 99483
PayerCodeRateNPITax IDStateSpecialty
United
99483$335.981568410975 - LISA DIX EMPERADOR20580034TXCardiovascular Disease Physician (207RC0000X)
United
99483$466.581205181674 - MICHAEL CAVAZOS262400924TXCardiovascular Disease Physician (207RC0000X)
United
99483$238.721538265905 - ALLAN DANIELS873724584 - (TX) DANIELS INTERNAL MEDICINE PLLCTXInternal Medicine Physician (207R00000X)
United
99483$199.691093709511 - JAMES BONDS742765063 - (TX) JAMES BONDS MDTXInternal Medicine Physician (207R00000X)
United
99483$318.831083946693 - DUC PHAN455243025 - (TX) ALLY HEALTHCARE ADVOCATES, LLC DBA SUNRISE COMPREHENSIVE HEALTHCARETXInternal Medicine Physician (207R00000X)
United
99483$199.691154393817 - LUIS GONZALEZ PENIZA814403408 - (TX) RGV CLINIC FOR YOU PLLCTXInternal Medicine Physician (207R00000X)
United
99483$447.131992978910 - ILEVBA OSARENKHOE452525763 - (MD) MDICS AT CIVISTA LLCMAPediatrics Physician (208000000X)
United
99483$736.601902332901 - ALEXANDER CONSTANTINE760386391 - KELSEY-SEYBOLD MEDICAL GROUP PLLCTXInternal Medicine Physician (207R00000X)
United
99483$278.511063427433 - GABRIELA HUNKO270214261 - (TX) GABRIELA HUNKO MD PLLCTXInternal Medicine Physician (207R00000X)
United
99483$238.721710977913 - ROUSSEL CLEMENT201684800 - (TX) ROUSSEL CLEMENT MD PA 401K PROFIT SHARING PLANTXInternal Medicine Physician (207R00000X)
United
99483$238.721336438878 - ERIC MADARANG842805421 - (TX) HERE OR THERE HEALTHCARE PLLCTXInternal Medicine Physician (207R00000X)
United
99483$507.851841288453 - DAVID PARRISH752613493 - TEXAS HEALTH PHYSICIANS GROUPTXCardiovascular Disease Physician (207RC0000X)
United
99483$427.821548670961 - VIKRAM GILL311351965 - OHIOHEALTH CORPORATIONTXInternal Medicine Physician (207R00000X)
United
99483$857.341598394561 - ASIF KABANI752613493 - TEXAS HEALTH PHYSICIANS GROUPTXInternal Medicine Physician (207R00000X)
United
99483$686.531184727323 - JASON REYNOLDS42730094 - (MA) WAREHAM PEDIATRIC ASSOCIATES, P.C.MAPediatrics Physician (208000000X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 99483 vs. Other Evaluation and Management Codes

The CPT 99483 code is part of the Cognitive Assessment and Care Plan Services services used for Evaluation and Management. 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.

CodeComplexityDescription
99350-CPTHighHome Res Vst Est High Mdm 60, 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
99483-CPTModerateAssmt Care Pln Pt Cog Imp, Assessment Of And Care Planning For A Patient With Cognitive 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 Eg Basic And Instrumental Activities Of Daily Living Including Decision Making Capacity Use Of Standardized Instruments For Staging Of Dementia Eg Functional Assessment Staging Test Fast Clinical Dementia Rating Cdr Medication Reconciliation And Review For High Risk Medications Evaluation For Neuropsychiatric And Behavioral Symptoms Including Depression Including Use Of Standardized Screening Instrument S Evaluation Of Safety Eg Home Including Motor Vehicle Operation Identification Of Caregiver S Caregiver Knowledge Caregiver Needs Social Supports And The Willingness Of Caregiver To Take On Caregiving Tasks Development Updating Or Revision Or Review Of An Advance Care Plan Creation Of A Written Care Plan Including Initial Plans To Address Any Neuropsychiatric Symptoms Neuro Cognitive Symptoms Functional Limitations And Referral To Community Resources As Needed Eg Rehabilitation Services Adult Day Programs Support Groups Shared With The Patient And Or Caregiver With Initial Education And Support Typically 60 Minutes Of Total Time Is Spent On The Date Of The Encounter
99484-CPTLowCare Mgmt Svc Bhvl Hlth Cond, 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 With The 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 Not Progressing Or Whose Status Changes Facilitating And Coordinating Treatment Such As Psychotherapy Pharmacotherapy Counseling And Or Psychiatric Consultation And Continuity Of Care With A Designated Member Of The Care Team
99487-CPTLowCplx Chrnc Care 1st 60 Min, 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 That 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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