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99354

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Threshold Times for Codes 99354 and 99355 (Office or Other Outpatient Setting) • If the total direct face-to-face time equals or exceeds the threshold time for code 99354, but is less than the threshold time for code 99355, provider should bill the E&M visit code and code 99354.

Bulletin Number: xxxxxx

Threshold Times for Codes 99354 and 99355 (Office or Other Outpatient Setting) If the total direct face-to-face time equals or exceeds the threshold time for code 99354, but is less than the threshold time for code 99355, you should bill the E&M visit code and code 99354.

Changes in Prolonged Services Codes

Threshold Times for Codes 99354 and 99355 (Office or Other Outpatient Setting) If the total direct fact-to-face time equals or exceeds the threshold time for code 99354, but is less than the threshold time for code 99355, you should bill the E&M visit code and code 99354.

Prolonged Physician Services (With Direct Face-to-Face Contact)

NHIC, Corp. www.medicarenhic.com Use the following chart to help determine if the PROLONGED SERVICE CODES can be billed: CODE ESTIMATED TIME FOR CODE THRESHOLD TIME FOR 99354 THRESHOLD TIME FOR 99354 AND 99355 99201 10 40 85 99202 20 50 95 99203 30 60 105 99204 45 75 120 99205 60 90 135 99211 5 35 80 99212 10 40 ...

News Flash -- The NPI will be Required for all HIPAA Standard ...

predominantly counseling, spending 75 minutes (direct face-to-face) with the patient. The physician bills CPT code 99215 and one unit of code 99354.

Richland Baptist Church 1632 George Washington Way Richland ...

Richland Baptist Church 1632 George Washington Way Richland WA 99354 «Name of Church» «Last Name» «Apt #» «Street name» «Street no»

A Day in the Office: Optimizing Reimbursement in the Glaucoma ...

We could probably capture the following on the initial visit: Consult (CPT code 99244) $172.81 Prolonged services $295.59 (CPT codes 99354 x 1 @$99.29 and 99355 x 2 @ $98.15) Gonioscopy (CPT code 92020) $ 27.29 Serial tonometry (CPT code 92100) $ 86.78

2010 Guide for Medicare Consultation Code Reporting

For example, if a patient service is a 99204 (45 minutes) yet the physician spent a total of 105 minutes with the patient, the physician may bill 99204 plus Prolonged Service CPT code 99354.

Discussion of Medical Review Issues

Not reported separately 30-74 min. (1/2 hr.- 1 hr. 14 min) 99354 x 1 75-104 min. (1 hr. 15 min.- 1 hr. 44 min.) 99354 x 1 & 99355 x 1 105-134 min. (1 hr. 45 min.- 2 hr. 14 min.) 99354 x 1 & 99355 x 2 135-164 min. (2 hr. 15 min.- 2 hr. 44 min.) 99354 x 1 & 99355 x 3 165-194 min. (2 hr. 45 min.- 3 hr. 14 ...

Compliance Compass

Total Duration of Prolonged Services Face-to-face outpatient setting Face-to-face inpatient setting NON-face-to-face Any setting Less than 30 minutes Not separately reported/ included in E&M Not separately reported/ included in E&M Not separately reported/ included in E&M 30 to 74 minutes 99354 X1 99356 X1 99358 75 to 104 ...