CPT^® 99359, 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 99359 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.

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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. This code represents each additional 30 minutes after the first hour of time.

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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 ]

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 ]

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 ]

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 ]

Coding for extended time consulting with other providers

If you use the office/other outpatient specific add-on code for a conversation on the same day the E/M code must be coded based on time. If the conversation(s) with the other provider(s) take place ... [ Read More ]

Need help billing pro fee for extended visit with time

[QUOTE="jkyles@decisionhealth.com, post: 509058, member: 269282"] 99354 isn't used with office E/M visits. Since this is a Medicare Advantage plan I assume G2212 is appropriate: Prolonged office or ot... [ Read More ]

Need help billing pro fee for extended visit with time

99354 isn't used with office E/M visits. Since this is a Medicare Advantage plan I assume G2212 is appropriate: Prolonged office or other [URL='https://selectcoder.decisionhealth.com/MVC/DorlandsDicti... [ Read More ]

99443 Telephone evaluation and management with Non face-to-face prolonged services (CPT codes 99358‒99359)

[QUOTE="Melissa Zeitz, post: 487199, member: 14955"] [B]Is it ok to use a non-face-to-face prolonged care code for [/B]30 min+ spent in addition to a phone code 99443 (30 minutes)? I thought this code... [ Read More ]

Prolonged service 99358-99359 denials

[QUOTE="courtneymathis, post: 493146, member: 467710"] Is anyone else getting denials from Medicare MCO carriers for non-face-to-face prolonged services 99358-99359? The impression is that carriers sh... [ Read More ]

Prolonged service 99358-99359 denials

Is anyone else getting denials from Medicare MCO carriers for non-face-to-face prolonged services 99358-99359? The impression is that carriers should follow medicare guidelines but some aren't (mostly... [ Read More ]

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