tci ED Coding & Reimbursement Alert - 2017 Issue 12

You Be the Coder: Avoid Prolonged Service Codes in the ED

Question: Can we report prolonged evaluation and management (E/M) services with emergency department (ED) E/Mcodes? Supercoder.com Subscriber Answer: No. You may not report prolonged services codes 99354 (Prolonged evaluation and management or psychotherapy service[s] [beyond the typical service time of the primary procedure] in the office or other outpatient setting requiring direct patient contact beyond the usual service; first hour [List separately in addition to code for office or other outpatient Evaluation and Management or psychotherapy service]) through 99357 (Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond the usual service; each additional 30 minutes...

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