CPT Code 99483: Assessment of and care planning for a patient with cognitive impairment

When to Use CPT 99483

Use CPT code 99483 when billing for assessment of and care planning for a patient with cognitive impairment. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99483 to a Superbill

When generating a superbill with CPT 99483, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99483:

Documentation Requirements

Document a comprehensive cognitive assessment including functional status, medication review, safety evaluation, and advance care planning. Must include a written care plan.

Common Denial Reasons

• ✗ Missing comprehensive care plan documentation
• ✗ Cognitive impairment diagnosis not established or documented
• ✗ Required assessment components (functional status, safety, advance care) not all completed

Reimbursement Expectations

OON reimbursement typically 50-70% of UCR. Expect $75-$196 for the comprehensive assessment.