tci General Surgery Coding Alert - 2000 Issue 11

Sparse Use of Prolonged Service Codes Is Profitable

Prolonged services are a good way for general surgeons to get reimbursed for significant extra time spent caring for patients. Surgeons treating pediatric patients and those with cancers of the colon, for example, particularly stand to benefit financially by coding and billing for prolonged services when appropriate. There are two hurdles to overcome, however, before these benefits can be realized:1.) Many practices are unfamiliar with billing these evaluation and management (E/M) services; and2.) Many surgeons dont document their time adequately the critical compliance guideline when using and billing for these services and the key to successful reimbursement...

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