Tips and Tricks on Principal Care Management Coding and Billing.

Skeehan, Christopher D; Gold, Peter; Engstrom, Stephen; Maxwell, P Courtney; Rana, Adam · J Arthroplasty · 2025

review · Level V

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Abstract

Principal care management codes offer orthopaedic surgeons an opportunity to seek reimbursement when managing comorbid conditions in patients planning to undergo total joint arthroplasty. This article provides key tips and tricks for effectively utilizing principal care management codes (CPT 99424 to 99427), focusing on correct documentation, time management, billing compliance, as well as practice model examples. By following these best practices, total joint arthroplasty surgeons can receive proper compensation for preoperative optimization of comorbid conditions when preparing their patients for surgery.

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