The time and billable units for the code 99358 and 99359 are listed in the 5 point checklist.

There are a number of significant changes in the Physician Fee Schedule that was adopted by the California Division of Workers' Compensation.

The introduction of reimbursable codes for non-face to face services, such as record review, was intriguing.

Over the past three years, it was difficult for claims administrators and providers to negotiate on a case-by-case basis.The reimbursements that come with the new payable status are good for the entire workers' comp community.

Both codes have a time component that requires the provider to meet over half of the specified time before reporting them.The first hour of non-face to face services may be billed before or after direct patient care.The add-on code is only billable in conjunction with 99358.In the case of these codes, a provider needs to spend at least 31 minutes or more before adding the code.

There are settings and circumstances to consider.The American Medical Association's CPT is adopted by California.

So far, so good.It is not possible to count face-to-face with a patient during an evaluation and management service as long as there is no direct patient contact.

If the non-face to face service goes beyond the usual time a provider would spend on a service, these codes may only be used.A better-informed provider will create a better plan of treatment, and taking extra time to sift through old medical records is a natural course of action for workers' comp patients.

Non-face to face service can be billed on a different date than the primary service.If the time spent is related to the past or future face-to-face care of the patient and to ongoing patient management, then this service can take place either before or after the actual face to face care.

The records in question must be reviewed by the provider.The codes are only used for record review when a different service provider creates those records.The service may not be reported for review of the provider's own records.

Even if the face-to-face primary service CPT code is not assigned a time requirement, providers can still use the time bound service codes.

The adopted CPT guidelines for reporting codes 99358 and 99359 consists of 5 points.

On or after April 1, 2017, providers will be reimbursed for a maximum of one unit and two units of non-face to face time per patient.There was no limit on the amount of non-face to face time.

The number of units is limited by Medicare's Medically Unlikely Edits.The maximum units of service that a provider would report under most circumstances for a single beneficiary is shown by anMUE.

There are exceptions to Medicare for theseMUEs.Providers can report medically reasonable and necessary units of service in excess of the Medicare value.It is possible to report additional services with the use of CPT modifiers such as 76 (repeat procedure by the same physician), 77, anatomic modifiers, and 59.If no other appropriate modifier describes the service, Modifier 59 may be used.

The number of services reported was medically reasonable and necessary if additional time is required beyond the 2 unit limit.

Related Posts:

1. In section: Treatment of speech, language, and Auditory Processing, there is a section called 'CPT® Code'.
2. How to block channels on smart TVs with step-by- step instructions.
3. The importance of healthcare information systems and how to use them.
4. Air conditioner codes for remote operation are available on Amazon.com.