H2041 Coord special care encounter
Also known as: care coordination, specialty coordination
Specialty care coordination service covering coordination of medical and behavioral health services for a single encounter or visit.
In Plain Language
help organizing your care; coordination during a medical visit
Clinical Context
Coordination of multiple specialty providers and services during a specific encounter. Used when coordination occurs around a single visit or interaction with medical or behavioral health system.
RVU Information
CPT H2041 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
This HCPCS code requires documentation of medical necessity and a valid physician order. Coverage and reimbursement policies vary by payer. Check with the specific insurer for prior authorization requirements.
Specialties
Frequently Asked Questions
What is CPT code H2041?
CPT H2041 (Coord special care encounter) is a Other HCPCS code. Specialty care coordination service covering coordination of medical and behavioral health services for a single encounter or visit.
Does Medicare cover H2041?
Medicare coverage for H2041 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Coordination of multiple specialty providers and services during a specific encounter. Used when coordination occurs around a single visit or interaction with medical or behavioral health system. A physician order is typically required.
When is CPT H2041 used?
Coordination of multiple specialty providers and services during a specific encounter. Used when coordination occurs around a single visit or interaction with medical or behavioral health system.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.