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tci Part B Insider - 2008 Issue 42

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

CPT deletes modifier 21, but that shouldn't take away your pay.If you're used to adding modifier 21 to E/M codes to capture additional reimbursement when your physician spends longer than normal with a patient, now's the time to revamp your coding.  CPT 2009 deletes modifier 21 (Prolonged evaluation and management services) effective Jan. 1, directing you to look instead at the prolonged service codes (+99354-+99357). Here's the scoop on what you'll need to know to avoid denials come Jan. 1.Rejoice in More Specific CodingIn the past, you've been able to append modifier 21 to the highest...

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