Two days after seeing and examining an 85-year-old new female patient with history of malignant neoplasms, the physician receives past medical records from the patients previous dermatologist. The physician spends 60 minutes reviewing the records and communicating with the patients daughter. Is code 99358 the appropriate code to report for this service? ...
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Article Overview
This short coding Q&A explains a prolonged service scenario in outpatient evaluation and management. It is relevant to coders, billers, and clinicians who need to understand how non-face-to-face time connected to a patient encounter is discussed in coding guidance. The article centers on a single service question and the general circumstances under which that type of code is considered.
Why This Topic Matters
Understanding whether post-visit record review and related communication can be reported affects accurate E/M reporting and compliance for services linked to direct patient care.
What You Will Learn
- How a prolonged non-face-to-face E/M service question is framed in coding guidance.
- The general context in which record review and communication time is discussed for reporting purposes.
- How coding articles may address standalone reporting considerations for a prolonged service.
- The role of patient-related administrative and clinical follow-up activities in a coding scenario.
Who Should Read This
- Medical coders
- Billing specialists
- Physicians
- Practice administrators
- Compliance staff
Codes Discussed
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