tci General Surgery Coding Alert - 2014 Issue 7

Reader Question: Record Review Can Impact MDM

Question: A patient had 10 years of medical records sent to our surgeon for review. Much of the information was not relevant to the patient’s current condition or the surgeon’s treatment plan. Is there a way to bill for the surgeon’s time reviewing these records? Texas Subscriber Answer: You may use codes for prolonged service without face-to-face patient contact (99358 - 99359, Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes [List separately in addition to code for prolonged service]) for records review before or after an E/M visit, in...

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