tci General Surgery Coding Alert - 2015 Issue 2

Reader Question: Expect Record Review to Be Part of Office Visit

Question: A patient had 10 years of medical records sent to our physician for review. Much of the information was not relevant to the patient’s current condition or the treatment plan. Is there a way to bill for the physician’s time reviewing these records? Texas Subscriber Answer: CPT® includes codes for prolonged services without face-to-face patient contact for records review before or after an E/M visit. Those codes are 99358 (Prolonged evaluation and management service before and/or after direct patient care; first hour) and add-on code +99359 (… each additional 30 minutes [List separately in addition to...

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