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Wiki 99245 & prolonged services

nlbarnes

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Escondido, CA
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Is prolonged service allowed with 99245 - 55 minutes. Provider documented 90 minutes. I'm getting conflicting info.
 
Is prolonged service allowed with 99245 - 55 minutes. Provider documented 90 minutes. I'm getting conflicting info.
Yes, that would be 99245 and 99417 x 2.

Check the date on any information you find about coding E/M services. The new guidelines for consults (and all other level-based codes except office/other outpatient visits) went into effect Jan. 1, 2023. Anything older than that will not apply to services performed this year.
 
Encoder Pro shows 99417 may be billed in addition to 99245 (if the 99245 is being selected based on time)
Yes, that would be 99245 and 99417 x 2.

Check the date on any information you find about coding E/M services. The new guidelines for consults (and all other level-based codes except office/other outpatient visits) went into effect Jan. 1, 2023. Anything older than that will not apply to services performed this year.
Thank you...
 
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