tci E/M Coding Alert - 2014 Issue 10

Reader Question: Separate Primary Visit from Prolonged Service

Question: During a scheduled office visit of a new patient, our cardiologist spent additional office time evaluating the patient on top of the specified time for the primary visit. The visit was face-to-face for 30 minutes and then up to 74 minutes of additional time. How do I code this? West Virginia Subscriber Answer: You could use 99354 (Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour [List separately in addition to code for office or other outpatient Evaluation and Management service]) for the first hour of the additional...

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