The structured workflow for the Medicare Cognitive Assessment & Care Plan (CPT 99483). Capture every required element, generate an audit-ready care plan, and write it back to your EHR in one pass.
You make every clinical decision · Built by a physician (MBBS, PhD)
Free to start · No credit card · ~$260 per 99483 (varies by locality)
For a patient with an identified cognitive concern, run the structured 99483 workflow: staging instrument, functional assessment, neuropsychiatric and depression screens, medication review, safety evaluation, caregiver supports.
Every CMS-required element captured and assembled into a written care plan that stands up to audit. You review and sign.
~$260 · CPT 99483 (varies by locality)Clean structured data flows into your EHR via FHIR: CarePlan, QuestionnaireResponse, Observations. Your existing coders and workflows take it from there.
Medicare defines nine assessment elements for the Cognitive Assessment and Care Plan, plus the written plan itself. The builder tracks each one during the encounter, so you see the note is billable before you sign, not when the claim comes back.
Any provider eligible to report the service, in the settings where cognitive impairment is found and assessed.
Dedicated cognitive assessments and care planning for an older, higher-prevalence panel.
Structured staging, screening, and a defensible written plan for cognitive-impairment workups.
Convert a concern found at the AWV or a routine visit into a compliant, billable 99483.
Any practitioner eligible to report E/M can furnish and sign the service within their scope.
99483 requires an independent historian. Send the caregiver a secure form ahead of the appointment; their history flows straight into the assessment, so the required element is already captured when you sit down.
The caregiver gets a private form link. No login for them, and no health detail in the message itself.
Functional, behavioral, and safety history, supplied by the person who knows the patient best.
Responses pre-populate the assessment and satisfy the required independent historian element.
Not a transcript. A structured PDF in CMS order: findings in plain language, recommendations with a named responsible party, referrals, and a follow-up schedule. Your staff drops it into the chart; the family gets their copy.
Cognitive testing today shows impairment in short-term recall and executive function. Functional assessment indicates independence in basic ADLs, with support needed for finances and medication management. Dementia staging is consistent with mild dementia, corroborated by the independent historian. Depression screen negative.
| Instrument | Domain | Result |
|---|---|---|
| Mini-Cog | Cognition | 2 / 5 |
| Lawton-Brody IADL | Function | 5 / 8 |
| FAST | Dementia staging | Stage 4 |
| PHQ-2 | Depression screen | Negative |
Already using an ambient scribe (Doximity, DAX, Abridge) or a dictation? Paste the visit note and the assessment pre-fills itself, including the standardized instrument scores. You review the few gaps and sign. No typing during the visit.
A scribe turns conversation into a note. The Cognitive Assessment & Care Plan is a different job: a mandated, structured assessment that produces a billable, audited care plan (CPT 99483), with defined CMS-required elements a note cannot satisfy on its own. We build that from what your scribe already captured. Depth where it’s billable, not another transcript.
The assessment stays human. The software removes the downstream friction: variable documentation, manual plan assembly, and data that never makes it back into the chart.
The workflow maps to the CMS 99483 assessment elements, so the care plan is compliant because of how it is built, not by hope.
Standardized staging, functional, and neuropsychiatric tools. Structured, scored, defensible. Not a free-text scribe.
Deliver the 99483 visit in person or by telehealth with two-way audio and video. Same required elements either way.
Built for developer-friendly ambulatory EHRs: Elation, athenahealth, DrChrono.
We complement your coders. We do not capture HCC/MEAT or touch claims risk.
The software drafts. You review, edit, and sign every plan. Built for the audited, payer-facing context.
Encrypted, access-controlled, and yours. The clinician stays the author of every record. HIPAA-ready, with a BAA available on request.
CPT 99483 reimburses ~$260 per visit (varies by locality). Start free and pay per export, or go unlimited for a flat monthly rate. You review and sign every plan.
Bill it the same day as the AWV with modifier 25, or as a separate visit. See the billing guide.
Run the structured 99483 workflow free. Pay only when you export a care plan.
Unlimited 99483 care plans for one provider. One reimbursed visit (~$260, varies by locality) covers two months.
For memory clinics and groups running 99483 at volume across multiple providers.
CPT 99483 is the Medicare code for the Cognitive Assessment and Care Plan: a comprehensive assessment of a patient with cognitive impairment that produces a written care plan. It requires an independent historian and medical decision making of moderate or high complexity. Read the code description →
Around $260 per visit nationally. The exact amount is updated annually and varies by locality. See reimbursement and RVUs →
Yes. Append modifier 25 to the 99483, or bill it as a separate visit. Both paths are valid. Read the same-day billing guide →
Yes. A spouse, adult child, or another knowledgeable informant is required. Their history can be captured before the visit; it does not have to happen in the exam room. Read the independent historian guide →
No. It is a service-based code. Completing and documenting the required elements supports the claim, not the minutes spent. Read more →
Create your account in minutes. Run the assessment, assemble the compliant care plan, write back to your EHR. Free to start, no credit card.
Get Started Free →Book a demo and we’ll walk the full flow, from assessment to signed care plan to EHR write-back.