Results 1 to 7 of 7

99337 is time dependant or not

  1. #1
    Default 99337 is time dependant or not
    Medical Coding Books
    Hi,
    Please explain me about 99337 code, wthether it is only time dependant. I got one chart where our NP spent 90 minutes in treating the rest home established patient. (99337 explains as 60 minutes with patient) My doubt is can i use 25 modifier in this case or i have to bill 99337 alone or any other code. Please explain me...

    Thanks,
    Soundar

  2. #2
    Default
    This is either time based or key component based.

    99337
    Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Physicians typically spend 60 minutes with the patient and/or family or caregiver.

    You can use a 25 modifier with this code if it is supported by documentation. What else was done that day?

    Laura, CPC, CEMC

  3. Default 99337
    If you have verified that there is at least 2 of the 3 components necessary for the 99337 code and you note that it is 30 minutes over the time guideline, I believe you would not report the modifier 25, but instead report the 99354 in addition to that code to denote the prolonged service for the 30 minutes.

  4. #4
    Default
    Hi Laura,
    No they didnt do any other procedures, then can i use 25 Modifier....
    Thanks,
    Soundar

  5. #5
    Default
    Quote Originally Posted by moorefield View Post
    If you have verified that there is at least 2 of the 3 components necessary for the 99337 code and you note that it is 30 minutes over the time guideline, I believe you would not report the modifier 25, but instead report the 99354 in addition to that code to denote the prolonged service for the 30 minutes.
    Hi,
    Sorry,In our software we can code only one code, so we cant bill both 99337 and 99354... What i have to do in this case

    Thanks,
    Soundar

  6. #6
    Location
    Columbia, MO
    Posts
    12,839
    Default
    If it is a software problem then talk to your vendor, I am not understanding that you can use only one CPT code on a claim, there is no need for a 25 modifier at all. IF you have met the criteria for the 99337 for the 2 out of 3 key components, and IF the NP documented the time spent, the you may submit
    99337
    99354
    no modifer is needed for this scenario and you should be able to list as many codes as it takes for a single claim.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
    Default
    Thanks for all your valuable comments...

    Soundar

Similar Threads

  1. CPC-A searching for a local or remote position, Part-time or Full-time
    By kaliaug99@yahoo.com in forum Resume Postings
    Replies: 1
    Last Post: 04-06-2016, 07:37 AM
  2. Resume--CPC seeking remote part-time/half-time position
    By WENDYNC70@AOL.COM in forum Resume Postings
    Replies: 1
    Last Post: 04-05-2016, 10:35 PM
  3. Part Time Temp position & Full time Billing Specialist
    By dspring71 in forum Employment General Discussion
    Replies: 1
    Last Post: 07-30-2012, 12:13 PM
  4. need CPT codes for follow up visits oof 99324-99337
    By Melissa Stanley-Baker in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 03-05-2012, 12:01 PM
  5. Oxygen dependant
    By MsMaddy in forum Diagnosis Coding
    Replies: 1
    Last Post: 05-27-2010, 09:59 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.