99358

  1. M

    Wiki Using 99358 and 99359 for chemo treatment plans

    If an Oncologist has an E/M visit with a patient on Day 1, and they determine that the patient is a candidate for chemotherapy that will present to the chemo infusion clinic on Day 14, but on Day 11 they write the specific treatment plan with dosages for approval by the pharmacy can they report...
  2. M

    Wiki Using 99358 and 99359 for Chemotherapy Plans

    If an Oncologist has an E/M visit with a patient on Day 1, and they determine that the patient is a candidate for chemotherapy that will present to the chemo infusion clinic on Day 14, but on Day 11 they write the specific treatment plan with dosages for approval by the pharmacy can they report...
  3. C

    Wiki CMS 99358 (2022)

    Good morning, Do you have any tips on billing this code? Does it have to be on a separate claim to the actual face-to-face encounter? All services were rendered in 2022. Thank you
  4. E

    Wiki 99358

    We are billing 99358 to BCBS and Aetna medicare advantage plans and medicaid. They are denying this code. Is anyone else having this issue? Is there something we can be doing to get this paid? We are billing for nursing facilities. The providers review patient records before being seen in facility.
  5. I

    Wiki 99358

    Hello all, I have a provider that has just started using CPT code 99358. She has wanted me to look at her documentation to make sure she is doing it correctly, but I'm ignorant of the code. I've looked up what documentation is required and have seen that time and work that was performed is what...
    • ImThatDingo
    • Thread
    • 99358 prolonged e/m required documentation
    • Replies: 0
    • Forum: E/M
  6. A

    Wiki TELEPHONE/NON FACE-TO-FACE MEDICAID MI DENIALS

    my group provides mental behavioral health services, psychology/psychiatry, in nursing facilities that we're contracted with in 5 states. Medicaid KEEPS denying our 99484, 99358, and 99359 claims. Is there a specific way aside from the requirements we're all aware about of a claim form that may...
  7. A

    Wiki 99358 & 99484

    Hi! Mental Behavioral Health, (psychiatrist/NP/PA) servicing Nursing Facilities.. Can you bill a 99358 and 99484 in the same calendar month?!
    • amjamil
    • Thread
    • 99358 99484 mental health behavioral nursing home psychiatric coding
    • Replies: 0
    • Forum: Behavioral Health
  8. Rebecca Pate

    Wiki 99483 with 99358

    Can anyone tell me if it's acceptable to bill 99483 (assessment of and care planning for a patient with cognitive impairment) with 99358 (Prolonged e&m service, non direct)? I have a provider who is insisting this is ok, when they are using the prolonged service portion to complete the...
  9. J

    Wiki Prolonged Non Face-to-Face (99358) and Telephone Calls?

    Hi, Does anyone have examples of usage for 99358? I have informed my providers of the following scenarios in order to report 99358: (1) Medical Records review; (2) Review of diagnostic test results; (3) Discussing patient case with another physician; and (4) Any other on-going management of the...
  10. J

    Wiki 99358 Non Face to Face Prolonged Services.

    RE: 99358 Non Face to Face Prolonged Services. Can the inpatient E/M and the non face-to-face prolonged service be reported by 2 different physicians that are within the same group. For example, if a patient is in the hospital and doctor #1 provides the non face-to-face prolonged service and...
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