ED Coding and Reimbursement Alert

2012 CPT® Errata:

Late Breaking News: Add Subsequent Observation Codes to Prolonged Services Range

Last month's issue of ED Coding and Reimbursement Alert reported on the 2012 CPT® updates relevant to emergency medicine, but the just released CPT® 2012 errata file added the subsequent observation codes (99224-99226) to the code range parenthetical for use with prolonged service codes. This accounts for the typical times listed in the code descriptors for the subsequent observation codes. The revised code descriptor and applicable code range now appears as follows:Code 99356 (Prolonged physician service in the inpatient setting, requiring unit/floor time beyond the usual service; first hour [List separately in addition to code for inpatient Evaluation and Management service] has a new parenthetical list of applicable code ranges that now include the initial admit to observation codes.(Use 99356 in conjunction with 99218-99220, 99221-99223, 99224-99226, 99251-99255, 99304-99310, 90822, and 90829).
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.