S0316 Follow-up/reassessment
Also known as: DMP follow-up, reassessment
Disease management follow-up and reassessment. Periodic review and adjustment of disease management interventions.
In Plain Language
program check-in; health plan update
Clinical Context
Ongoing monitoring of patients enrolled in disease management programs. Nurse or care manager assesses disease control, medication adherence, lifestyle modifications, and modifies plan as needed.
RVU Information
CPT S0316 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 S0316?
CPT S0316 (Follow-up/reassessment) is a S Codes code. Disease management follow-up and reassessment. Periodic review and adjustment of disease management interventions.
Is S0316 covered by insurance?
S0316 is a temporary HCPCS code. Coverage varies by payer and may change when permanent codes are assigned. Ongoing monitoring of patients enrolled in disease management programs. Nurse or care manager assesses disease control, medication adherence, lifestyle modifications, and modifies plan as needed.
When is CPT S0316 used?
Ongoing monitoring of patients enrolled in disease management programs. Nurse or care manager assesses disease control, medication adherence, lifestyle modifications, and modifies plan as needed.
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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.