CPT Code 99442: Telephone evaluation and management, 11-20 min

When to Use CPT 99442

Use CPT code 99442 when billing for telephone evaluation and management, 11-20 min. This code is used by licensed therapists (LCSW, LPC, MFT, Psychologist) for outpatient sessions.

Adding CPT 99442 to a Superbill

When generating a superbill with CPT 99442, include the ICD-10 diagnosis code, date of service, fee charged, amount paid, and your NPI number. Superbilled pre-fills common therapy CPT codes automatically.

Common ICD-10 Pairings

These diagnosis codes are frequently used alongside CPT 99442:

Documentation Requirements

Document the medical discussion, assessment, plan updates, and exact call duration. Note clinical decision making performed during the phone encounter.

Common Denial Reasons

• ✗ Call duration outside the 11-20 minute range
• ✗ Administrative call billed as E/M
• ✗ Phone E/M not covered by the patient plan

Got one of these on a remittance? Decode the denial code.

Reimbursement Expectations

OON reimbursement typically 40-60% of UCR. Expect $20-$60 for moderate phone E/M.