Are prolonged services codes 99417 (outpatient prolonged service) and 99418 (inpatient prolonged service) appropriate to be reported as add-on codes to individual psychotherapy code 90837 when a session exceeds 60 minutes during an outpatient or inpatient encounter, respectively? ...
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Article Overview
The article addresses a coding question about prolonged services and individual psychotherapy, with context on CPT evaluation and management and psychiatry code families. It also references changes in the CPT 2023 code set and distinguishes psychotherapy services from psychotherapy for crisis.
Why This Topic Matters
The topic is relevant to professionals reviewing time-based services and the boundaries between evaluation and management and psychotherapy coding.
What You Will Learn
- How the article frames prolonged services in relation to individual psychotherapy.
- Which CPT service categories and settings are discussed.
- How the article places the topic in the context of CPT 2023 changes.
- intended_audiences
- topics
- medical_specialties
- code_sets
- codes
Who Should Read This
- Medical coders
- Behavioral health billing professionals
- Behavioral health clinicians
- Healthcare compliance and revenue cycle staff
Codes Discussed
- CPT: 90785
- CPT: 90832
- CPT: 90833
- CPT: 90834
- CPT: 90836
- CPT: 90837
- CPT: 90838
- CPT: 90839
- CPT: 90840
- CPT: 98003
- CPT: 98007
- CPT: 98011
- CPT: 98015
- CPT: 99205
- CPT: 99215
- CPT: 99223
- CPT: 99233
- CPT: 99236
- CPT: 99245
- CPT: 99255
- CPT: 99306
- CPT: 99310
- CPT: 99345
- CPT: 99350
- CPT: 99354
- CPT: 99355
- CPT: 99356
- CPT: 99357
- CPT: 99358
- CPT: 99359
- CPT: 99415
- CPT: 99416
- CPT: 99417
- CPT: 99418
- CPT: 99483
Code Ranges Discussed
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