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Thread: Prolonged Service codes

  1. #1
    Join Date
    Apr 2007

    Default Prolonged Service codes

    AAPC: Back to School
    What type of detailed documentation is recommended when a provider used prolonged service codes 99354 or 99355? The time has been documented but no detail of what the doctor was doing during the prolonged time.

  2. #2
    Join Date
    Apr 2007

    Default Prolonged Services

    According to:

    "These codes represent at least 30 minutes of time spent beyond the usual E&M visit, and require documentation of both time and the medical necessity for spending the additional time. Unusual clinical situations may warrant prolonged face-to-face contact between physician and patient, and when that time exceeds 30 minutes, the provider may submit for payment in addition to the base Evaluation & Management (E&M) code. Additional time spent does not have to be continuous, and can represent the sum of incremental periods in a given day."

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