prolonged services

  1. J

    Wiki G2212 with Outpatient MH code

    Has anyone billed a G2212 with MH outpatient code (90837) and had success? The billing guide and SERI list the E/M codes as billable with the add-on but since we lost the prolonged services codes 99354 and 99355, the G2212 is the only option for our practice. Currently I'm getting denials saying...
  2. C

    Wiki CMS 99358 (2022)

    Good morning, Do you have any tips on billing this code? Does it have to be on a separate claim to the actual face-to-face encounter? All services were rendered in 2022. Thank you
  3. J

    Wiki Mental Health Prolonged Services

    Anyone have experience with prolonged service codes? We've been billing 90837 with place of service 03-school (we are a school based MH agency) and 99354 for prolonged services. The code description is: Prolonged evaluation and management or psychotherapy services in the office or other...
  4. S

    Wiki coding inpatient face to face family consult

    I have a dr who sat down with a pt's parents for 1 1/2 hour documented time to discuss pathology and an aggressive treatment plan all clearly documented in her notes. This included going over MRI, pathology reports, surgical scheduling for port placement, radiation, chemo and other critical...
  5. C

    Wiki Prolonged Services

    Hello I have a patient who after his E/M visit was admitted to hospital by Dr. but stayed in office for 4 hours under supervision until an open room was available at hospital. Would I use prolonged visit codes? Or not include at all. Any advise would be helpful. thank you
  6. W

    Wiki prolonged services question

    When attempting to determine the appropriate E/M codes to use when an extensive amount of time has been spent with the patient (and documented appropriately :) ), how do you figure out the initial E/M code to use? For example, if you have a 90 minute established patient office visit, do you...
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