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CPT Code 99358 | Prolonged Evaluation & Management Service (First Hour)

CPT code 99358 is a medical billing code used to describe a prolonged evaluation and management service, which involves ongoing patient management and may require extra effort and time on the provider’s part.

What Is CPT Code 99358

CPT 99358 is a medical billing code used to describe a prolonged evaluation and management service, which involves ongoing patient management and may require extra effort and time on the provider’s part.

This service may include evaluating previous medical records for a new patient, reviewing reports and progress after treatment, or developing a treatment plan for a complex or chronic medical condition.

It is typically used when the provider spends a minimum of 30 minutes on indirect patient care and is intended to provide additional support and care for patients who require more extensive monitoring or management of their condition.

Description

The CPT book describes CPT code 99358 as: “Prolonged evaluation and management service before and/or after direct patient care; first hour.”

How To Use CPT 99358

CPT code 99358 is a medical billing code used to describe a prolonged evaluation and management service. This refers to a service involving ongoing patient management of a service or patient where face-to-face patient care has been performed or will be performed in the future.

This code is typically used to bill for services that involve a longer-than-usual duration or a higher level of complexity and are provided by a healthcare provider to a patient.

Prolonged evaluation and management services may be required for patients with complex or chronic medical conditions or for patients who require ongoing monitoring or management of their condition.

Resources

CPT Professional 2022

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