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Prolonged services 99354-99356

Emie Posted Fri 24th of April, 2020 12:01:40 PM
codes are 99214-99354.I need on how to calculate this visit if the time supports 99354. The Visit was more than 55 minutes of which at least 50% of the time was spent face-to-face with patient providing counseling regarding the multiple diagnoses as noted in the assessment aspect of the note, start time 11:32 AM, and time 12:30 PM. Can someone show me how to calculate this visit?
SuperCoder Answered Mon 27th of April, 2020 04:10:39 AM

Hi Emie,


Thanks for your question.


Code 99354 is used to report the total duration of face-to-face time spent by a physician on a given date providing prolonged service in the office, even if the time spent by the physician is not continuous. If the provider spends additional time on an office or outpatient E/M or psychotherapy service, use code 99354 for the first 30 to 74 minutes of additional time.


Since the time in your scenario is 58 minutes, you may report code 99354.


Please feel free to write if you have any question.



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