Saturday, July 09, 2011

prolonged visit codes

Must document time for all of these codes
code 99354 extended care code for outpatients first hour
99356/99357  extended care for inpatients
Consider using if you are doing a prolonged consult on someone who has been seen in last 3 years, not eligible for new patient code.  If took 1  hour 15 minutes, bill at highest level established patient (99215) for first forty minutes, and 99354 for subsequent face to face time .  Over 74 minutes can use additional code for time. 
IF ARNP sees patient first (CE) then MD sees or vice versa.
99239 code for discharge codes more than 30 minutes. 
Critical care 99291/'99292 first hour (31-74 minutes for 99291 and 99292 for each subsequent half hour). Tpa good choice, add all your time together. document time.Includes time with radiologist, time on unit. 
Use modifier 25 for LP if done on same day as E and M service.

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