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General Surgery Coding Alert

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.

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