Mental Behavioral Health, (psychiatrist/NP/PA) servicing Nursing Facilities..
Can you bill a 99358 and 99484 in the same calendar month?!
Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleCan you bill a 99358 and 99484 in the same calendar month?!
Are these codes reserved for Physicians, NPs, PAs, etc. or can they be used by Clinical Social Workers and Clinical Psychologists?
If they can be used by Clinical Social Workers and Clinical Psychologists, would it be appropriate to use in conjunction with CPT Codes 98966-98968 for prolonged telephone services provided directly to a patient?
Thanks.
https://www.aapc.com/blog/37804-cms-covers-99358-99359-prolonged-service/
CMS Now Covers 99358, +99359 Prolonged Services
Worker’s Comp also covers it.
1. Prolonged Service codes non-face-to-face time CPT codes 99358 and 99359 have been restored as billable codes. Their Billing Status in the fee schedule has changed to A – a billable code. Many orthopaedic practices used these codes to bill non face-to-face time for review of records. Medicare realized that the value of this additional work was not included in the value of the E&M services and they restored providers ability to bill these codes and in the update, DWC is following suit. It is important to remember the CPT definition of these codes:
99358 Prolonged evaluation and management service before and/or after direct patient care, first hour.
99359 each additional 30 minutes
It is not required that the time be continuous or spent all on the same day, however, prolonged service of less than 30 minutes total duration on a given date is not separately reported. Previously DWC had allowed the billing of these codes in 15 minute increments. Physicians will need to document the time spent in their reports. It is unclear whether DWC will also allow physicians to bill for the report. COA has asked DWC to clarify this point.
Per above 2 documents, Medicare and WC will both cover it except other commercial carriers.
Blackhorse, CPC-A
*MRI Results* I reviewed the MRI scan and discussed the results with the patient over the phone at her request. She is in a hurry to get things…
Medical Billing and Coding Forum
The Centers for Medicare & Medicaid Services (CMS) typically does not allow separate payment for physician services that do not require face-to-face time with a patient. As of Jan. 1, 2017, CMS has made an exception and will now allow Medicare coverage for non face-to-face prolonged service codes 99358 Prolonged evaluation and management service before […]
AAPC Knowledge Center