Question: Regarding non face-to-face prolonged care, does Medicare require start and stop times, they way they do for prolonged face-to-face care? … [Read more...]
Using Time to Select a Code
Some Evaluation and Management codes, and some other codes are defined by the amount of time of the service. When a CPT® code is defined by time, the … [Read more...]
Don’t forget Care Plan Oversight
There are two sets of codes for care plan oversight, CPT (99374--99380) and HCPCS codes (G0181, G0182) The requirements for each are different, … [Read more...]
Prolonged services codes for Medicare preventive medicine services: G0513, G0514
As I'm editing this article in late 2020, I can't recall a time when I saw these codes reported by one of my clients. But, there are HCPCS prolonged … [Read more...]
Coding Guide – Care Management Services
What you need to know about non face-to-face services CMS has a stated goal of recognizing management services provided outside of an office visit. … [Read more...]
Prolonged services and nursing home visits
Question: Prolonged Services and nursing home visits. I'm getting a "Code 99358 is a column 2 code for 99309, these codes cannot be billed … [Read more...]
Everything you want (and need) to know about E/M services
Evaluation and Management (E/M) services account for 30% of the revenue paid by Medicare for all physician services. For many specialties, E/M codes … [Read more...]
Prolonged Services
Lunch and Learn There are three sets of prolonged services codes. The first set describes add-on codes to E/M services, 99354—99357. The … [Read more...]
Non Face-to-Face Prolonged Service – 99358
Codes 99358 and 99359 are used for non-face-to-face prolonged services by the billing physician/NP/PA when provided in relation to an E/M service on … [Read more...]