cameron.moriarty
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We have been billing 99354 and 99355 for Prolonged services related to Pain Management and Ketamine Infusion. 99354 is for the 1st hour (30 - 74 minutes) of Prolonged E&M time requiring direct contact, and 99355 is for each additional 30 minutes. Medicare is limiting 99355 to 3 units and said they need a modifier for more. We have tried 25, XU, 59, and 76 and so far it is no good. Both BCBS and UHC have been paying up to 7 units for 99355. Can anyone help me with getting more time paid?
Thank you,
Cameron Moriarty, CPC
Thank you,
Cameron Moriarty, CPC