tci General Surgery Coding Alert - 2017 Issue 7

Prolonged Services: MUE Takes Back Some Non-Face-to-Face Pay

Limit billed time to 2 hours. If you started taking advantage of billing your surgeon’s non-face-to-face work since CMS paved a path for doing so effective Jan. 1, get ready to roll back that practice. Backstory: In the 2017 Medicare Physician Fee Schedule (MPFS) final rule, CMS pledged separate payments for some E/M services that fell under CPT® codes 99358(Prolonged evaluation and management service before and/or after direct patient care; first hour) and +99359 (… each additional 30 minutes [List separately in addition to code for prolonged service]) for non-face-to-face physician work to evaluate a patient case &ldquo...

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