For the CPT 2023 code set, if a physician or other qualified health care professional (QHP) has spent at least 90 minutes performing an extensive record review on a date other than the date in which an E/M-related service was performed, is it appropriate to report codes 99358 and 99359 ? ...
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Article Overview
This article explains a CPT 2023 coding question about prolonged evaluation and management services provided by a physician or other qualified health care professional on a date other than the face-to-face encounter. It is relevant for coders and billing staff who work with E/M reporting and need to understand the general circumstances discussed for prolonged services and related physician/QHP work.
Why This Topic Matters
Accurate interpretation of prolonged service reporting affects whether related non-face-to-face work is captured appropriately in professional coding workflows.
What You Will Learn
- The scope of CPT 2023 guidance on prolonged evaluation and management services
- How the article frames prolonged services performed on a separate date from a face-to-face encounter
- The general relationship between prolonged service reporting and E/M services
- The role of physician and other qualified health care professional work in this topic
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians and other qualified health care professionals
Codes Discussed
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