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denied pc due to being considered an Incidental pc




  • Gillian

    Hi Erica, we'd recommend reaching out to the payer directly regarding this denial and their billing guidelines, as different payers have different rules regarding CPT code usage on claims.

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  • Yolanda Winfield

    Just a suggestion....

    Codes 99354-99355 are reported in the office or other outpatient setting when a provider performs prolonged service(s) involving direct patient contact provided beyond the usual E/M or psychotherapy service

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  • Judi Moore

    Any tips on how to bill them?

    I have 90837 for 60 min psychotherapy then the 99354 for the additional time.  Is there a modifier needed?



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