tci General Surgery Coding Alert - 2004 Issue 6

How to Choose Between Time-Based E/M, Prolonged Service

Start with history, exam and MDM Your general surgeon conducts a 50-minute established outpatient visit during which he spends 35 minutes on coordination and care. Should you report 99215, or 99213 with +99354 (Prolonged physician service in the office or other outpatient setting ...)?CPT specifies that if counseling and coordination of care consume 50 percent or more of an E/M visit, you may use time as the determining factor when selecting an appropriate E/M level. How, then, do physicians and coders decide when to report prolonged services and when to use time to justify a higher E/M level...

To read the full article, sign in and subscribe to tci General Surgery Coding Alert.

Leverage vital, to-the-point monthly guidance to boost your reporting accuracy and your coding know-how. We make it convenient for your team to stay informed, compliant, and profitable with a subscription to TCI’s General Surgery Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1999 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci General Surgery Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!