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99359 Prolong serv without contact add

Evaluation & Management +Add-on

Also known as: prolonged service additional office, extended service add-on, prolonged add-on

Prolonged evaluation and management service in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes of service after the first hour.

In Plain Language

Additional extended visit time; Extra office appointment time

Clinical Context

Used to report each additional 30-minute increment of prolonged direct patient contact in outpatient settings beyond the first hour of prolonged service.

RVU Breakdown

Work RVU0.75
Total RVU0.75

Est. Medicare Payment

$25.05

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Billing & Documentation

E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.

How This Code Compares

With a work RVU of 0.75, this code ranks in the 18th percentile among Evaluation & Management codes — 2.1x below the median (1.54). The highest wRVU in this category is 18.46.

Specialties

All Specialties

Frequently Asked Questions

What is CPT code 99359?

CPT 99359 (Prolong serv without contact add) is a Evaluation & Management code. Prolonged evaluation and management service in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes of service after the first hour.

Who uses CPT code 99359?

CPT 99359 is used by All Specialties. Used to report each additional 30-minute increment of prolonged direct patient contact in outpatient settings beyond the first hour of prolonged service.

When is CPT 99359 used?

Used to report each additional 30-minute increment of prolonged direct patient contact in outpatient settings beyond the first hour of prolonged service.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.