AMA CPT® Assistant - 2013 Issue 5 (May)

Medicine: Psychiatry (Q&A) (May 2013)

May 2013 page 12d Medicine: Psychiatry Question: If the psychologist spends 90 minutes with the patient, will he/she be allowed to report code 99354, Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour (List separately in addition to code for office or other outpatient Evaluation and Management service), as a way of capturing the prolonged time? Answer: It would depend on the service provided and the base code used to report the service. If the psychologist is reporting the Health and Behavior Assessment/Intervention codes, the prolonged service codes would...

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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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