Results 1 to 4 of 4

Documentation Guidelines for 99358 and 99359

  1. Default Documentation Guidelines for 99358 and 99359
    Exam Training Packages
    Codes 99358 and 99359 are monitoring codes. We are going to be giving our patients a new medication (FDA approved) for MS. When a patient is given this drug they are to be monitored for 6 hours. These are the 2 codes I came up with for the monitoring. I have been unable to find any documentation guidelines for these two codes. I need documentation guidelines for these codes and if there are any references for the guidelines.

  2. #2
    Location
    Columbia, MO
    Posts
    12,572
    Default
    99358-9 are not monitoring codes. These are physician codes to be used when the provider is not face to face but is addressing the patient's issues in some way such as over the phone or with other caregivers when the patient is not there. For the patient to remain in the office for 6 hours and have someone check on them periodically is not proper use of this code. If the physcian evaluates the patient prior to administering the drug then you possibly have a visit level, then if he documents time spent with the patient during the initial eval plus any face to face time spent checking on the patient then you may have enough time to add on a prolonged face to face code.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    Quote Originally Posted by mitchellde View Post
    99358-9 are not monitoring codes. These are physician codes to be used when the provider is not face to face but is addressing the patient's issues in some way such as over the phone or with other caregivers when the patient is not there. For the patient to remain in the office for 6 hours and have someone check on them periodically is not proper use of this code. If the physcian evaluates the patient prior to administering the drug then you possibly have a visit level, then if he documents time spent with the patient during the initial eval plus any face to face time spent checking on the patient then you may have enough time to add on a prolonged face to face code.
    The physician is giving the patient a drug for the first time and the patient has to be monitored for the 6 hours. The patient will be monitored for signs and symptons of bradycardia. I am not sure if the physician or a nurse will be checking on the patient. If the nurse is the one checking on the patient, what codes should be used?

  4. #4
    Location
    Columbia, MO
    Posts
    12,572
    Default
    If the nurse is checking on the patient then it is not billable. If it is the physician then he must document the amount of time for each time he checks the patient face to face and the assessment each time. Then you will need to evaluate the entire amount of time spent and the actual visit level to see if a 99354 can be added to the visit level.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. 99358 / 99359 Prolonged E/M
    By bmanus in forum E/M
    Replies: 2
    Last Post: 11-09-2012, 01:55 PM
  2. Documentation guidelines
    By vkratzer in forum General Surgery
    Replies: 0
    Last Post: 05-05-2010, 12:37 PM
  3. Using 95 Documentation Guidelines
    By eeoo in forum E/M
    Replies: 2
    Last Post: 12-18-2008, 01:57 PM
  4. E/M Documentation Guidelines
    By HILLIC in forum E/M
    Replies: 2
    Last Post: 08-13-2008, 07:48 PM
  5. Replies: 3
    Last Post: 08-11-2008, 02:26 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.