Don't have a TCI SuperCoder account yet? Become a Member >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

how to count time for prolonged vist with E/M

Leslie Posted Thu 28th of June, 2012 15:23:50 PM

I need some clarification on prolonged visit, please.
A physician bills a 99214 (25mins)
He does 2 X30mins interval EKG because the patient had syncope at the office.

What I understand is total time ( 25 minutes plus 60minutes = 85mins of visit)
Therefore, 99214 ( 25mins), 99354 ( first hour = 60mins) OR 99214(25mins), 99354 (35mins---which would be 25 +35= first 1 hour) and, 99355 (last 25 mins)

SuperCoder Answered Fri 29th of June, 2012 13:01:22 PM

Leslie, You must carve out any time for procedures from the prolonged service time calculation. Prolonged services is direct face-to-face time between the physician and the patient excluding any procedure or otherwise separately billable services. The above case does not qualify for prolonged service time coding. You would code only 99214.

Jen Godreau, CPC, CPMA, CPEDC

Related Topics