tci General Surgery Coding Alert - 2021 Issue Q4

Reader Questions: Scrutinize Time for Prolonged Service

Question: Our surgeon performed an extensive office evaluation and management (E/M) service for a new patient involving high-complexity medical decision making (MDM). The surgeon documented 84 minutes for the visit. Can I account for the extra time using the prolonged service code? Connecticut Subscriber Answer: No, you should not use the prolonged service code +99417 (Prolonged office or other outpatient evaluation and management service(s) beyond the minimum required time of the primary procedure which has been selected using total time, requiring total time with or without direct patient contact beyond the usual service, on the date of the primary...

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