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Changes to prolonged care services for 2010


Current Procedural Terminology (CPT) has revised the guidelines for prolonged services without direct face-to-face patient contact (CPT 99358 - 99359) when filed in addition to the primary evaluation and management care. Payment for these services will be included in the reimbursement for direct face-to-face services billed by physicians. Physicians cannot bill the member when covered services and payment are included in the reimbursement for other billable services.