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o The prolonged services codes may only be reported with those E/M as part of their descriptors, meaning that CPT guidelines have stipulated a “typical service time” for + 99354 Prolonged evaluation and management or psychotherapy 12 Sep 2017 Prolonged Service with Direct Patient Contact (99354-99357) If based on components, it means the documentation requirements for history, 8 Jun 2017 Prolonged services (99354, 99355 and 99356, 99357) require Documentation is not required to accompany the bill for prolonged . I: www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c12.pdf.7 Mar 2017 The physician cannot bill prolonged services because the total duration of direct face-to-face service did not meet the threshold time for billing prolonged services. The physician cannot code 99214, which has a typical time of 25 minutes, and one unit of code 99354. 14 Nov 2018 (CMS) or other coding guidelines. . physician or other qualified health care professional report prolonged services (CPT codes 99354-99357). 99354 (Prolonged service in the office or other outpatient setting requiring direct Providers should refer to CPT coding guidelines for prolonged services for 5 Jul 2017 Payments for prolonged services are rising, but to ensure proper payment, physicians need to know how to report these services correctly. 10 Dec 2017 Q: What is the correct way to code prolonged services when their Codes 99354-99355 are reported in the office or other outpatient setting when a CPT coding guidelines may differ from commercial payer guidelines, so be Codes 99354-99357 are used when a physician or other qualified health care professional provides prolonged service(s) involving MLN Matters Article, MM5972-Prolonged Services (Codes 99354 - 99359) Timely Filing Requirements 17 Jul 2018 Missing documentation to support start/end times of the visit for billed Prolonged Services (Codes 99354 – 99359)' MLN Number MM5972
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