Reader Question: Skip 99360 When Billing to Medicare

Why This Topic Matters

Standby services can be difficult to report correctly because payer policy, documentation, and the distinction between standby time and active participation all affect whether a claim may be paid. Understanding the article helps practices avoid unsupported claims and improve compliance with payer requirements.

Article Sections

1. Question

   Introduces a billing scenario involving physician standby time during high-risk procedures and asks what documentation is needed for reporting.

2. Answer

   Summarizes payer coverage considerations, documentation expectations, and the general circumstances in which standby service reporting is discussed.

3. Note

   Highlights that standby care documentation responsibilities apply to both the requesting and providing physicians.

4. Important

   Addresses the distinction between standby service and active procedure involvement within the broader billing discussion.