prolonged care

  1. K

    Wiki Denials billing 99417

    Is anyone else receiving denials on 99417 to commercial payers that don't follow Medicare guidelines, for invalid diagnosis? They pay the E&M for the DX but not the prolonged care code, although the DX is valid and matches documentation.
  2. J

    Wiki Billing Labor Management for OB

    Currently we bill complicated labor management time (outside of global) using the primary E&M Code and then the prolonged care codes 99354 (or 99356 depending on POS) and 99355 (or 99357) per date of service. I have read in several different places that prolonged care should be billed...
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