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Click here for more sample CPC practice exam questions and answers with full rationale

CPT Codes 99358 & 99359 – Who may report?

Which types of providers may report CPT codes 99358 & 99359, Prolonged Services Without Direct Patient Contact?

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.

Medical Billing and Coding Forum

cpt codes 99358 & 99359 prolong codes-are you double dipping

• If a provider reviews extensive records on the SAME DATE OF SERVICE as an associated E/M service, and if we are going to bill 99358, would we still be able to credit the ‘review and summarization of old records’ on the medical decision making portion of the E/M service, or would this be considered ‘double-dipping’. I would ask the same question with the review being on a separate date of service. How do we make sure there is no double dipping

Medical Billing and Coding Forum

CMS Now Covers 99358, +99359 Prolonged Services

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