S0311 Complicated management care coord adv ill
Also known as: care coordination, complex care management
Comprehensive management care coordination for advanced illness. Physician-led care coordination for complex, chronically ill patients including communication with interdisciplinary team.
In Plain Language
health management assistance; doctor coordination
Clinical Context
Intensive care coordination service for patients with multiple comorbidities and complex psychosocial needs. Physician ensures seamless care across settings and between providers.
RVU Information
CPT S0311 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
S-codes are used by private payers (not Medicare) for services without a standard CPT or HCPCS code. Coverage varies significantly between insurers. Verify payer acceptance before billing and document medical necessity thoroughly.
Specialties
Frequently Asked Questions
What is CPT code S0311?
CPT S0311 (Complicated management care coord adv ill) is a S Codes code. Comprehensive management care coordination for advanced illness. Physician-led care coordination for complex, chronically ill patients including communication with interdisciplinary team.
Is S0311 covered by insurance?
S0311 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Intensive care coordination service for patients with multiple comorbidities and complex psychosocial needs. Physician ensures seamless care across settings and between providers.
When is CPT S0311 used?
Intensive care coordination service for patients with multiple comorbidities and complex psychosocial needs. Physician ensures seamless care across settings and between providers.
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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.