blondie11hay
New
While performing my organization's annual Cardiology coding group education, the following question arose in regards to 99358 Non face to Face Prolonged care services:
"What if we spend (greater than 30 minutes) in extensive review of patient's records and imaging in preparation for a consult, bill the 99358 and then the patient no shows or cancels for the related visit?"
My thoughts were that either A.) the patient will reschedule and there will still be a related visit or B.) if the payor questioned this we could support the fact that the patient was in fact scheduled for a visit which the provider prepared for but patient did not keep intended visit.
I would greatly appreciate any feedback on this. I cannot seem to find a clear cut answer on this in anything I have read.
~Casie Connors, CPC, CCC
"What if we spend (greater than 30 minutes) in extensive review of patient's records and imaging in preparation for a consult, bill the 99358 and then the patient no shows or cancels for the related visit?"
My thoughts were that either A.) the patient will reschedule and there will still be a related visit or B.) if the payor questioned this we could support the fact that the patient was in fact scheduled for a visit which the provider prepared for but patient did not keep intended visit.
I would greatly appreciate any feedback on this. I cannot seem to find a clear cut answer on this in anything I have read.
~Casie Connors, CPC, CCC