CPT^® 99350, Under Established Patient

The Current Procedural Terminology (CPT^®) code 99350 as maintained by American Medical Association, is a medical procedural code under the range - Established Patient.

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Summary

The provider sees an established patient for a home or residence visit involving evaluation and management (E/M). The visit involves high medical decision making or the provider spends at least 60 minutes of total time on the encounter on a single date.

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View matching HCPCS Level II codes and their definitions.

Forum

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Telemedicine and Home Health Professional services

Hello, I have questions regarding billing of E/M services for professional home or domiciliary visits performed via telehealth. I am having difficulty getting reimbursement from Anthem, when we will ... [ Read More ]

TCM and Home Visit

Good afternoon, Hope everyone is having a fantastic Monday! Is it possible to bill TCM 99495 and 99350 on the same day without a modifier? Thank you for your help!... [ Read More ]

TCM and Home visit

Good afternoon, Hope everyone is having a fantastic Monday! Is it possible to bill TCM 99495 and 99350 on the same day without a modifier? Thank you for your help!?... [ Read More ]

Modifier 25 with 99223 and 99497

Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]

home visit

hello all, how do we code home visit for 2 hour long. example, if some provider went patient's home to see and spend 2 hours discussing all chronic condition how do we code this? do we code 99350 for... [ Read More ]

Visiting Physicians

We have a visiting Physicians business. The cost of running the operation is pretty high as the reimbursement are not adequate it seems. Is there an expert that can guide us through what are all the ... [ Read More ]

TELEMEDICINE VS. PHONE APPT

[QUOTE="mabuaba, post: 499619, member: 704186"] I came across 99354 and 99355 as an addition code, if required for 99441-99443 telephone visit codes. [/QUOTE] This is incorrect - per the 'code first' ... [ Read More ]

COVID-19 ADMINISTRATION CODE

[QUOTE="rachaelwilleford, post: 498942, member: 572125"] M0244 is for the home health administration. M0243 is for outpatient administration. Q0243 is for the drug code itself. Since this drug is be... [ Read More ]

COVID-19 ADMINISTRATION CODE

[QUOTE="CarlaA, post: 498846, member: 312023"] Can you bill a home visit code with M0243? I am guessing for the M0244 you would not bill with a 99350 with it since it states in the home. But could yo... [ Read More ]

COVID-19 ADMINISTRATION CODE

Can you bill a home visit code with M0243? I am guessing for the M0244 you would not bill with a 99350 with it since it states in the home. But could you the M0243 or would it be more appropriate to ... [ Read More ]

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