Wiki G0317 Prolonged Service, how to bill

[amjamil]

Do you have to bill the prolonged service G0317 on the same claim form as your E/M visit, (99306-99310) or can this code be billed separately on it's own?

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[sls314]

Do you have to bill the prolonged service G0317 on the same claim form as your E/M visit, (99306-99310) or can this code be billed separately on it's own?

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You have to bill the services together.

G0317

Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to CPT codes 99306, 99310 for nursing facility evaluation and management services). (Do not report G0317 on the same date of service as other prolonged services for evaluation and management codes 99358, 99359, 99418). (Do not report G0317 for any time unit less than 15 minutes)

 

[jkyles]

Do you have to bill the prolonged service G0317 on the same claim form as your E/M visit, (99306-99310) or can this code be billed separately on it's own?

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It's an add-on code, you have to report it with the primary E/M code. That means you'll need to hold the E/M visit if you want to capture time after the date of the visit (three days for G0317).