AMA CPT® Assistant - 2012 Issue 8 (August)

Prolonged Evaluation and Management Services (99354-99359) (August 2012)

August 2012 pages 3-5 Prolonged Evaluation and Management Services (99354-99359) Two significant editorial changes have been made to the Prolonged Service With Direct Patient Contact guidelines for the CPT 2012 codebook. The first change omits the reference to "face-to-face" for direct patient contact prolonged services codes 99354-99357. The second change includes the removal of physician-specific references in the title and code descriptors of codes 99354-99359. This article will provide the rationale for these changes, clarify the intent and use of prolonged services with and without direct patient contact, and update two specific reporting instructions related to codes 99358 and...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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