CPT^® 99358, Under Prolonged Service on Date Other Than the Face-to-Face Evaluation and Management Service Without Direct Patient Contact

The Current Procedural Terminology (CPT^®) code 99358 as maintained by American Medical Association, is a medical procedural code under the range - Prolonged Service on Date Other Than the Face-to-Face Evaluation and Management Service Without Direct Patient Contact.

Additional/Related Information

Tabs

Summary

Report this service if the provider spends time in either preparation or evaluation of the outcome of treatment before or after a direct encounter with a patient.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 99358 ? Start a discussion here

Transitional Care Management (99495 and 99496) with a Medicare Wellness

[QUOTE="TThivierge, post: 516062, member: 216725"] Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual w... [ Read More ]

2022 CPT 99358

In 2022 billing for CPT 99358, can a provider bill and be paid for review of their own internal medical records? Where is this info located?... [ Read More ]

Telemedicine and Home Health Professional services

[I]Hi Tewisdom:) It could be well are you the selecting the right diagnosis codes reflecting the documentation(most Z codes should be last unless designated first listed Z dx codes)? As example Z74 bl... [ Read More ]

Transitional Care Management (99495 and 99496) with a Medicare Wellness

Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual wellness CPT. However documentation had to be such ... [ Read More ]

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 ]

99358 visit with its spouse and NOT pt

"Prolonged services without direct face-to-face patient contact Codes 99358-99359 are used when a prolonged service is provided that is neither face-to-face time in the office or outpatient setting, ... [ Read More ]

99358 visit with its spouse and NOT pt

Provider is coding 99358 which is prolonged services without direct contact with pt.. but is seeing patients spouse for the appointment not the patient. (They have all the paperwork) this is psych an... [ Read More ]

E/m section question e/m code help e/m coding

Someone please help me with this question. A 55-year-old established patient is coming in for a pre-op visit; he is getting a liver transplant due to cirrhosis. The physician performs an expanded pr... [ Read More ]

SNF and Prolonged Non F2F service

Can we bill both the service together on same day? 99304 - 99310 and 99358 ?... [ Read More ]

Supportive Oncology Services

Good morning, I have a provider who is billing codes 99358 and 99359 for her supportive Oncology phone calls when she speaks to a patient on the phone after hours. However, she is also using these co... [ Read More ]

View All