AMA CPT® Assistant - 2008 Issue 6 (June)

Prolonged Services (June 2008)

June 2008 pages 12-13 Coding Clarification:Prolonged Services The CPT panel has long recognized that some encounters for evaluation and management (E/M) services require much more than the typical time. For this reason, the "Prolonged Services" codes (99354-99359) exist. Despite their long history, these services are often a source of coding confusion. Key points are presented to reduce ambiguity. The first point to consider is basic structure. There are two basic code sets: services with direct (face-to-face) patient contact and those without direct patient contact. The former set is subdivided into outpatient and inpatient codes. Office or Other Outpatient Setting...

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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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