Tips and Tricks on Principal Care Management Coding and Billing.
Document Type
Article
Publication Date
10-2025
Institution/Department
Orthopedics; Sports Medicine
Journal Title
The Journal of arthroplasty
MeSH Headings
Humans, Clinical Coding, Arthroplasty, Replacement, United States, Comorbidity, Documentation
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.
ISSN
1532-8406
First Page
2537
Last Page
2539
Recommended Citation
Skeehan, Christopher D; Gold, Peter; Engstrom, Stephen; Maxwell, P Courtney; and Rana, Adam, "Tips and Tricks on Principal Care Management Coding and Billing." (2025). MaineHealth Maine Medical Center. 4179.
https://knowledgeconnection.mainehealth.org/mmc/4179
