tci E/M Coding Alert - 2021 Issue Q4

Reader Questions: Don’t Use Prolonged Service for Extra E/M Time

Question: Our provider performed an office evaluation and management (E/M) service for a new patient. It was an extensive encounter; there was high-complexity medical decision making (MDM) and the visit lasted 84 minutes. Can I use the new prolonged service code to account for the extra E/M time? New Mexico Subscriber Answer: In this case, no. You should report 99205 (Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.