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

Duration

11-20 min

Typical Fee

$50-$100

Type

Outpatient therapy

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:

F41.1 - Generalized anxiety disorder F32.1 - Major depressive disorder, single episode, moderate F90.9 - Attention-deficit hyperactivity disorder, unspecified

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

Reimbursement Expectations

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

Related Guides

Telehealth Therapy Billing: CPT Codes, Modifiers, and Superbills6 min read
Telehealth Superbills: What Must Be Different From In-Person4 min read
Place of Service Codes for Therapy: 02, 10, 11 Explained5 min read

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