Wiki need help with extend code 99354

[codernickie]

I work in a internal med office and the physician usually bill a 99214 but the time she spend with the patient may be 40-60min and she also may give a b-12 injection, so i add a prlong code 99354 but it is being rejected by the insurance carrier. i usually code it like this:
99214-25
99354
96372-59
J3420

everything is being paid except for the prolong code. am i coding this wrong or missing a modifier, can anyone help?

Nickie, CPC

 

[mitchellde]

It may be your dx code. The dx must support a visit of this intensity, a 99214 plus a 99354 must be a minimum of 55 minutes face to face with the physician and the physician must document the time in the note, if you have this then appeal to get it paid.

 

[codernickie]

o.k

thanks
Nickie, CPC