tci General Surgery Coding Alert - 2011 Issue 10

Reader Question: 99360 is One to Skip for Medicare Billing

Question: Our surgeons sometimes "standby" for other surgeons in some high-risk procedures or cases. They want to code for their time, and we want to use 99360. How should they document their time to be able to charge 99360?Georgia SubscriberAnswer: CMS and many other payers don't pay for 99360 (Physician standby service, requiring prolonged physician attendance, each 30 minutes [e.g., operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG]), so the physician may not be able to charge for standby time.Some payers might pay on 99360, however. If a third party payer...

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