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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a coding scenario involving prolonged services and psychotherapy, with emphasis on when the topic may be relevant to professional coding review. It is a concise CPT Assistant Q&A intended for coding professionals who need guidance on evaluation and management-related reporting considerations and the scope of psychotherapy service coding.

Why This Topic Matters

It helps coders identify whether prolonged services guidance applies in a psychotherapy context and understand the kinds of CPT reporting questions addressed by the article.

Article Sections

  1. October 2015 page 9

    Publication and page information for the Q&A item.

  2. Evaluation and Management: Prolonged Services

    The article’s main question-and-answer content on prolonged services in relation to psychotherapy reporting.

What You Will Learn

  • How the article frames prolonged services guidance in a psychotherapy setting
  • Which general CPT reporting topics are addressed in the Q&A format
  • What types of coding scenarios the article discusses at a high level
  • How the article positions prolonged services within evaluation and management-related guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Psychiatry and behavioral health coding staff

Codes Discussed

Code Ranges Discussed


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