care plan oversight

can nurse practitioners bill for care plan oversight using 99374

Care Plan Oversight

There are two sets of CPO codes: CPT for non-Medicare patients and HCPCS codes for Medicare patients. The CPT codes are described as "Physician" supervision. In recent years, CPT has differentiated some codes as "physician" services and others as performed by "qualified nonphysician healthcare professionals" which is their word for Non Physician Practitioners. You can see this if you compare the phone codes 98966--96968 for NPPs with the codes for MD's 99441--99443.

Since the CPT codes are in the medicine section and specifically say "physician" I would say no, you can't have an NPP do these. Since they are billed to commercial carriers, it would be worth it to call and ask them if they consider it a service payable by an NPP.

For the HCPCS codes for CPO G0181 and G0182, an NPP may perform them. Here is an excerpt from the article in Codapedia about that:

The physician who bills for CPO must be the same physician who certified the patient for home health agency or hospice services. A qualified Non-Physician Practitioner (NPP) may provide care plan oversight if the NPP has a collaborative agreement with the physician who certified the patient. Neither the physician nor the NPP providing the service may be an employee or director, paid or voluntary, of either the home health agency or the hospice providing the care or have any significant financial arrangements with one of those organizations. Care plan oversight may only be billed by one physician in a month.