tci Part B Insider - 2017 Issue 5

Physician Notes: Be Aware of Changes to Prolonged Service Time Limits

In November, CMS offered new E/M options for prolonged services reportable in 2017. In recent guidance, it looks like those unbundled, CPT® options for non-face-to-face, prolonged care will now be limited to two hours total. In its final rule for the 2017 Medicare Physician Fee Schedule (MPFS), CMS pledged separate payments for some E/M services that fell under CPT® codes 99358 (Prolonged evaluation and management service before and/or after direct patient care; first hour) and 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...

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