We had a new patient come in for the yearly pe. The doctor spent a hour with this patient because she had multiple medical issues including md, g-tube, rad, seizures,cyclic vomiting. The doctor then spent another 1 1/2 hrs on the patients prev records and updating our lmr with the info. I would like to bill extra for this but i'm not sure if i should bill a sick visit with the rov or perhaps use a prolonged serv code?? Anyone ?? Thanks :d