Per CPT, the E/M codes can be used for meeting with the patient and/or family. The prolonged services codes are split into "direct" or "without direct" patient contact. We have a minor who was brought in and the provider did examine the patient but then sent her out of the room so that she could discuss the history of possible sexual abuse indicated by the mother. Most of the 90 minute visit was spent with the mother only. Would we use the "Prolonged E/M service before and/or after direct patient care, first hour" since the child was not in the room OR since she was still in the office and the provider was talking with the mother would that be considered "direct" contact since the patient is a minor?
Thank you,
Sue
Thank you,
Sue