What is the difference between Modifier 21, Prolonged Evaluation and Management Services, and the prolonged services codes 99354 (REVISED IN 2012) and 99355 (REVISED IN 2012)? ...
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Article Overview
This article is a brief coding-focused question and answer about evaluation and management reporting. It is intended for coders and billing staff who need a high-level understanding of how an extended-service modifier is discussed alongside prolonged service codes, including the fact that the article references 2012 revisions.
Why This Topic Matters
Understanding this comparison helps readers recognize that the article addresses how a modifier-based E/M reporting concept differs from prolonged service coding. It is relevant to those reviewing documentation and code selection guidance for physician service time.
What You Will Learn
- The article’s focus on a distinction between an E/M modifier concept and prolonged service coding.
- That the discussion references prolonged physician services and a 2012 revision timeframe.
- The general type of guidance offered in a brief coding Q&A format.
- How the article frames time-related service reporting at a high level.
Who Should Read This
- Medical coders
- Billing staff
- Compliance personnel
- Physician practice administrators
Codes Discussed
Modifiers Discussed
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