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CPT 2010 Update: Non-Face-to-Face Prolonged Services

Posted on 05. Nov, 2009 by in Provider News

New Year’s hats & horns for looser guidelines that let you count work spread over days.

Groaning thinking of all the time you’ll never capture for complex cases requiring extensive pre-visit time? CPT 2010 brings you hope.

Extensive guideline revisions “liberalize prolonged non-face-to-face services codes,” reports Richard Tuck, MD, FAAP, pediatrician at PrimeCare of Southeastern Ohio in Zanesville. “This CPT change is a really good one.”

Think 99358, +99359 on Non-E/M Day

For 2010, you can count indirect prolonged service time that occurs around the date of the E/M service. “Under the old definition, the non-face-to-face service has to be the day of the E/M,” Tuck explains.

Be careful: Prolonged service codes 99358 (Prolonged evaluation and management service before and/or after direct [face-to-face] patient care; first hour) and +99359 (… each additional 30 minutes [List separately in addition to code for prolonged physician service]) still have to relate to an E/M service...

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