tci Part B Insider - 2007 Issue 23

Part B Coding Coach: Think Prolonged Services Coding Is Too Complicated? Think Again

Learn what codes to use in both an inpatient and outpatient settingReporting prolonged services may be complicated, but you could be missing out on extra reimbursement if you don't tackle modifier 21 and prolonged services codes. Be forewarned: -Payment may be problematic,- says Deanna L. Sherland, CPC, billing supervisor for Southern Illinois Physicians Services in Belleville. Follow these rules, and you-ll know when each is appropriate. How to Use Modifier 21 Rule 1: When the time your physician spends on an E/M service is less than 30 minutes past the typical time for the highest E/M code in...

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