Are these patients being classified as critical care? section 30.6.12 E 4 is a good resouce for such patients.
generally speaking prolonged services, as they relate to interaction with the patient and/or family members, or individuals making decisions on behalf of a patient are face-to-face. An exception in 30.6.12 E 4 d is noted.
18.104.22.168 section g addresses inpatient codes, non-critical. However, this section requires face-to-face time.
Also, the threshold of medical necessity must be met and documented. The reference above includes guidelines for medical necessity as related to prolonged service codes.
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