• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Psychotherapy prolonged service?

JCROYLE

Contributor
Messages
13
Best answers
0
I have a licensed therapist that spent 150 minutes with a patient. Is there a prolonged service code I can bill for the extra time spent? I'm looking at the 90837 which is 60 minutes for the initial service. Is there an add on code available?
 
Prolonged services with psychotherapy

According to the AMA CPT, a prolonged service code from the EM section can be added to psychotherapy if the service is 30 minutes beyond the 68 minute psychotherapy code 90837. The current CPT book has this in green under the 90838 but sent out a Correction stating it should have been under the 90837. CPT also states that a physician or "other qualified healthcare professional" can use the prolonged service. So if the licensed therapist is considered a qualified healthcare professional than they should be able to pick up the 99354 with a documented time of 150 minutes.
 
Top