This post includes:
- CPT® rules for prolonged care non face-to-face
- Using-99358-for-phone-calls
Codes 99358 and 99359 are used for non-face-to-face prolonged services by the billing physician/NP/PA when provided in relation to an E/M service on the same or different day as an E/M service.
Beginning in 2021, you may not report these services on the same day as codes 99202-99215, office visit codes. And, starting 1/1/2023, CMS has given these codes a status indicator of invalid, meaning they won’t pay for them. They are still active CPT® codes. Individual payers will make their own reimbursement determinations.
Code | Description |
99358 | Prolonged evaluation and management service before and/or after direct patient care, first hour |
99359 | each additional 30 minutes (List separately in addition to code for prolonged services) |
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