BC Advantage - 2017 Issue 11

How to Properly Report Prolonged Evaluation and Management Services

Have you ever had a patient take more time with the provider than they were scheduled for? Do you understand which codes to report and the rules that govern them to allow for better reimbursement?Prolonged Service codes were created just for that reason, but you must carefully follow the documentation and coding guidelines to avoid problems. These "add-on" codes are reportable only when an Evaluation and Management code has been reported as the primary code. There are three types of Prolonged Service codes (see below), but here we will review the rules pertaining to codes 99354-99357.There are...

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