Prolonged Services Codes
Published on Tue Apr 27, 2004
+99354 - Prolonged physician service in the office or other outpatient setting requiring direct (face-to-face) patient contact beyond the usual service (e.g., prolonged care and treatment of an acute asthmatic patient in an outpatient setting); first hour (list separately in addition to code for office or other outpatient evaluation and management service)
+99355 - ... each additional 30 minutes (list separately in addition to code for prolonged physician service)
+99356 - Prolonged physician service in the inpatient setting, requiring direct (face-to-face) patient contact beyond the usual service (e.g., maternal fetal monitoring for high-risk delivery or other physiological monitoring, prolonged care of an acutely ill inpatient); first hour (list separately in addition to code for inpatient evaluation and management service)
+99357 - ... each additional 30 minutes (list separately in addition to code for prolonged physician service). Report these services in addition to other physician services, including E/M services at any level. You may claim 99355 and 99357 only in addition to 99354 and 99356.
