Explore this issueDecember 2017
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1. B—No. CPT 99358, prolonged evaluation and management service can be billed before or after direct patient care, first hour or 99539 —each additional 30 minutes (list separately in addition to code for prolonged service). This code cannot be used to bill a higher level E/M visit code. According to 2017 CPT: This service is to be reported in relation to other physician or other qualified healthcare professional services, including evaluation and management services at any level.
2. D—None of the above. Currently there is no ICD-10 code available to report multiple joint pain. Keep in mind, M25.50 is for pain in an unspecified joint and the unspecified ICD-10 codes should not be billed. Unfortunately, the coder must list all the joints that are affected.
3. B—96372. Even though denosumab is a monoclonal antibody, it does not meet the requirements to qualify for the higher chemotherapy injection code 96401.