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Prolonged Service

Prolonged Service. Prolonged Service. 99354 Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour . Prolonged Service. 99354 Example 99213 Typical time = 15 min (found in CPT manual)

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Prolonged Service

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  1. Prolonged Service

  2. Prolonged Service • 99354 Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour

  3. Prolonged Service • 99354 Example 99213 Typical time = 15 min (found in CPT manual) If spend 15 + 60 = 75 minutes, bill 99213 + 99354 (list separately in addition to EM)

  4. Prolonged Service • 99354 Time Measurement A unit of time is attained when mid-point is passed An hour is attained when 31 minutes is elapsed

  5. Prolonged Service • 99354 Example 99213 Typical time = 15 min If spend 15 + 31 = 46 minutes, bill 99213 + 99354

  6. Prolonged Service • 99355 Prolonged service in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes

  7. Prolonged Service • 99354 Example 99213 Typical time = 15 min If spend 15 + 60 + 30 = 75 minutes, bill 99213 + 99354 + 99355 (list separately in addition to 99354)

  8. Prolonged Service • 99354 Example 99213 Typical time = 15 min If spend 15 + 60 + 16 = 91 minutes, bill 99213 + 99354 + 99355 (list separately in addition to 99354)

  9. Prolonged Service • PAYMENT (Medicare 2013) • 99354 2.86 x 34.023 = $97.31 • 99355 2.8 x 34.023 = $95.26

  10. Prolonged Service • Use 99354/99355 also with 99324-99337 Rest Home Services 99341-99350 Home Services

  11. Coding Update • file://localhost/Users/alanhomestead/Documents/My Documents B 3-8-13/Adventures 11-3-12/O - S/Presentations/Repository of My PowerPoints/1 Whats New Coding Update/2013 Coding Update.ppt

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