Wiki Prolonged Visits

[tscobee]

I am needing help with the prolonged visit codes. I have a nurse practitioner that goes to assisted living facilities and will do a prolonged visit, (review of chart), on a different day. What code would I bill for the prolonged visit?

 

[jkyles]

Hi there, doing the additional service on a different day doesn't necessarily make it prolonged. In addition, are you billing Medicare?

 

[luvbuix]

prolonged visits are for extra time spent beyond the time frame of the 99205/99215 codes on the SAME DAY. for medicare that would be 89 mins or more for the 99205 & 69 mins for the 99215. for commercial carriers it would be 75 mins & 55 mins respectively. also- prolonged service is an add on code & CANNOT be billed alone. it must be billed with the above 2 codes. not too familiar with nursing home visit codes but i suspect what your NP is trying to do is a little iffy!