Wiki Extended time billing

[mwells2020]

Hello! I am inquiring about a Medicare ER patient that was taken care of by one of our PA's on 09/15/22. This patient has an LVAD device and needed transferred out to the hospital he had the device put in at. They did not have an available bed until 09/16/22. He ended up being in our ER for 14 hours and 20 minutes. I am needing help to see if I can bill a prolonged service code or not.

 

[shirleybui]

Hello.

No. ED codes are not time based; therefore you cannot add the prolong services codes to them.

 

[mwells2020]

That is what I thought but I wanted to make sure. Thank you so much for your help! I really appreciate it!