Evaluation and Management: Prolonged Services (March 2008)

March 2008 page 14 Evaluation and Management: Prolonged Services, 99360 (Q&A) Question: In the following scenario, is it appropriate to report code 99360 , Physician standby service, requiring prolonged physician attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG) , if the wait time is greater than 30 minutes. A physician is called by Hospital B to attend a patient in transit from Hospital A to Hospital B. The physician arrives at Hospital B before the patient. Answer: Yes. If the physician spends a full 30 minutes standing by, then one...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This CPT Assistant Q&A discusses prolonged services guidance for physician standby situations. It is relevant to coders, billers, and compliance staff who work with evaluation and management reporting and need to understand how standby service timing, location, and related service reporting are addressed at a high level.

Why This Topic Matters

Articles like this help coding professionals interpret Medicare/CPT-style guidance on time-based standby services and avoid mismatches between documented physician availability and billed evaluation and management services.

Article Sections

  1. Q&A on physician standby service

    A coding question is presented about a physician waiting to receive a patient during transport between hospitals. The response addresses how prolonged standby service is discussed in relation to evaluation and management reporting.

What You Will Learn

  • The article’s focus on physician standby services in an evaluation and management context
  • How the discussion frames prolonged service timing and reporting
  • The documentation and situational factors highlighted by the Q&A format
  • The broader kind of coding guidance addressed in a CPT Assistant article

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Physician practices

Codes Discussed


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