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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 is needed. She usually will see the patient with her PA, however in this note, she states that she did not see the patient with the PA, but did review patients records and came up with a plan along with the PA.

4233

I read that you can't use 99358 if it pertains to regular work-up. Would this documentation constitute using the 99358?

Many thanks to all that answer!!
 
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