Prolonged Services: 3 Quick Steps Help You Bill Prolonged Services Now That Modifier 21 Won't Apply

Why This Topic Matters

The topic matters because changes to CPT reporting can affect claim submission, denial risk, and how prolonged patient encounters are reflected in coding workflow.

Article Sections

1. CPT update and reporting change

   Introduces the coding update and the move to a different reporting approach for prolonged evaluation and management services. It frames the issue in terms of billing and reimbursement impact.

2. Rejoice in More Specific Coding

   Discusses the rationale for the updated prolonged services reporting approach and how it relates to evaluation and management documentation. It also notes the revised introductory guidance for the add-on code series.

3. Know +99354 through +99357

   Reviews the prolonged services add-on code series at a broad level and explains the article’s timing-based context for reporting these services. It includes a brief example of the type of encounter discussed.

4. Under 30 Minutes Extra Means No Extra Code

   Summarizes the article’s discussion of short-duration prolonged service situations and the related reporting limitations described in the updated CPT notes.