AMA CPT® Assistant - 2022 Issue 7 (July)

Questions and Answers (July 2022)

July 2022 page 17 Questions and Answers Evaluation and Management: Prolonged Services Question: Is it appropriate for health care professionals who are not qualified to report Current Procedural Terminology (CPT®) evaluation and management (E/M) services codes (99202–99499) because of their scope of practice (eg, clinical social workers) to report codes 99354 and 99357 for prolonged services? Answer: No, it would not be appropriate for health care professionals with limited scope(s) of practice to report codes 99354, Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in...

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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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