Question Interactive Complexity and Prolonged Services

Merrylb

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If a psychotherapy appointment calls for an interactive complexity add-on and the appointment met the time requirements to use the prolonged services add-on (90-120 minutes), could we use both add-ons? Or would this be considered upcoding?

Any help or advice is greatly appreciated!

Merryl Blatnik, CPC, CH-CBS
Medical Coding Specialist
 

JRae5M

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When performed with psychotherapy, the Interactive Complexity component (90785) relates only to the increased work intensity of the psychotherapy service, and does not change the time for the psychotherapy service. Per WPS, documentation needs to support the medical necessity for the extended psychotherapy time.
 
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Yes as long as the time spent with the client qualifies for a prolonged visit code(99354/99355) you can use both interactive complexity and prolonged visit on the same encounter.
 
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