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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Article Overview
This psychiatry-focused Q&A reviews 2013 coding updates and reporting questions related to behavioral health and psychotherapy services. It is intended for clinicians, coders, and billing staff who need a general understanding of how the article discusses time-based services, add-on reporting, and changes to interactive psychotherapy coding. The article includes guidance framed around CPT® psychiatry and behavioral health code families.
Why This Topic Matters
Psychiatry and behavioral health coding changes can affect how services are reported and how time and complexity are captured in claims. This article helps readers identify whether the content is relevant to psychotherapy, diagnostic evaluation, and behavior-health reporting workflows.
Article Sections
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May 2013 page 12d
A psychiatry coding Q&A segment covering reporting questions for behavioral health and psychotherapy services. The section addresses 2013-era updates and related CPT® guidance topics.
What You Will Learn
- Which psychiatry and behavioral health topics are discussed in the Q&A
- How the article frames time-based reporting issues in psychotherapy contexts
- What kinds of 2013 coding updates are being addressed in the psychiatry section
- How the article treats interactive complexity as a reporting topic
Who Should Read This
- Psychiatrists
- Psychologists
- Behavioral health clinicians
- Medical coders
- Billing staff
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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