tci E/M Coding Alert - 2019 Issue 2

You Be the Coder: Know Provider, Choose Correct Prolonged Service Code

Question: We bill based on time pretty frequently, particularly when we see pediatric patients who have complex situations or require surgery. Their parents have a lot of questions and our gastroenterologist is really good about documenting time in the records. We have never used a prolonged service code because the different types are intimidating. What’s the difference between them? Vermont Subscriber Answer: E/M services that last longer than usual often means employing a prolonged services add-on code to describe the full extent of the service. But before you open up your CPT®  code book, you need to...

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