AMA CPT® Assistant - 2019 Issue 1 (January)

Coding Brief: Prolonged Services Without Direct Patient Contact (January 2019)

January 2019 page 13 Coding Brief: Prolonged Services Without Direct Patient Contact In certain circumstances, it may be appropriate to report prolonged services that are supplemental to an evaluation and management (E/M) service but do not involve direct patient contact (99358, 99359). Current Procedural Terminology (CPT®) non-face-to-face prolonged service codes 99358, Prolonged evaluation and management service before and/or after direct patient care; first hour, and 99359, Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service), are used when a prolonged E/M service provided...

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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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