AMA CPT® Assistant - 2015 Issue 10 (October)

Evaluation and Management: Prolonged Services (Q&A) (October 2015)

October 2015 page 9 Evaluation and Management: Prolonged Services Question: When is it appropriate to report prolonged service code(s) in addition to a psychotherapy service (ie, code 90837)? Answer: It is appropriate to report prolonged services code(s) (99354-99357) in addition to the psychotherapy service code 90837, Psychotherapy, 60 minutes with patient and/or family member, when 90 minutes or longer of face-to-face time with the patient and/or family member are spent performing psychotherapy services, which are not performed with an E/M service. The appropriate prolonged services code would depend on the site of service. Prolonged service codes may not be...

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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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