tci Medicare Compliance & Reimbursement - 2022 Issue Q4

Part B Coding Coach: E/M 2023: Boost Prolonged Service Know-How With This Primer

Hint: CMS and CPT® are still at odds over when to add extra time. The Centers for Medicare & Medicaid Services (CMS) has made several changes to how you code prolonged services in the last few years. Whether it’s the changes CMS implemented to prolonged service coding with the 2023 final rule, or the different ways Medicare and payers who follow CPT® guidelines code for prolonged services, things are getting tricky when trying to report these services. Help’s here: This article will discuss all the new codes, and coding conventions, that are part of prolonged services coding...

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