tci General Surgery Coding Alert - 2017 Issue 3

Prolonged Services: Grab This Opportunity for Non-Face-to-Face Pay

See a boost for complex or chronic cases. Do your general surgeons sometimes do extensive work evaluating a patient case “behind the scenes” without a mechanism to capture fees for those services?  Good news: As of Jan. 1, you now have a way to account for that work and collect appropriate reimbursement. CMS paved the way in transmittal # R3678CP, which states, “In CY 2017, CPT® codes 99358 and +99359 (prolonged services without face-to-face contact) are separately payable under the Medicare Physician Fee Schedule [MPFS], reflecting policies finalized in the CY 2017 MPFS Final Rule.&rdquo...

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