Physicians Practice November 2, 2022
What you need to know about prolonged services, medical assistant, and E/M codes.
Q:We are having difficulty billing prolonged services. There are two different codes, and how they are added is different. Can you give us some suggestions on how to manage this in our office?
A: Many coding concepts are fairly straightforward and can be left for the physicians to code. However, in my opinion, this isn’t one of those situations. Claims that include possible prolonged care should be reviewed by a coder. This is because there are different codes depending on payer, and the time thresholds are different. Current procedural terminology gives code 99417 and allows providers to add the 15 minutes to the lower time threshold in...
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