Page 2 of 2 FirstFirst 12
Results 11 to 12 of 12

Prolonged services vs billing est. pt visits (99211 - 99215)

  1. #11
    Clearnace Sale
    If you have the documentation for the office visit 99214 and codes 99354 and 99354 where would you add the modifer 25

  2. #12
    Columbia, MO
    the 98960 is a code for nonphysicians and nonpractitioners, you use that code for ancillary personnel such as the nurse. I have not had any issue with Medicare or BCBS paying for that code. When you have an office visit and a prolonged code you do not need the 25 as the 99354 is add on. Also I have had reports from some states that APRN, PA and NPs are not allowed to use the prolonged time codes for their billing so FYI you might want to check on that first.

    Debra A. Mitchell, MSPH, CPC-H

Page 2 of 2 FirstFirst 12

Similar Threads

  1. Est.visits all 99212?
    By veloso in forum E/M
    Replies: 4
    Last Post: 09-09-2011, 12:16 PM
  2. Billing Prolonged Services
    By eeoo in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-25-2010, 03:10 PM
  3. Replies: 0
    Last Post: 05-15-2009, 11:16 AM
  4. Billing prolonged services
    By 1073358 in forum E/M
    Replies: 2
    Last Post: 02-16-2009, 04:54 PM

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?


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.