Clarification on reimbursement of CPT code *99354

The American Medical Association updated the nomenclature for CPT code *99354 to include or psychotherapy. This code remains classified as an evaluation and management code. Therefore, providers who are ineligible to perform and bill E&M codes can’t bill code *99354 as an add-on to other codes that are payable.

If ineligible providers bill this code, it will reject as not payable for your specialty and provider liability will apply.