1071471
Networker
Hi all,
I have a question regarding the use of face-to-face prolonged service codes: 99354-99355. Specifically, the use of these codes outside of the time component (i.e. more than 50% counseling &/or coordinating care) and additional time spent (i.e. "an additional 60 minutes spent discussing other treatment options").
What if the physician documents the following scenarios:
Scenario #1:[/B] “The patient's primary language is not english and through the use of an interpreter, I have spent an hour with this patient and her family obtaining the history, exam, and medical decision making.” (Let's say the key components qualified for a 99214).
Would I bill 99214 & 99354?
Scenario #2: " The patient is status post a CVA accident and has significant aphasia. This visit took 75 minutes to obtain the history, exam, and medical decision making" (Let's say the key components qualified for a 99203)
Would I bill 99203 & 99354?
My concerns are with Medicare review audits. Is the documentation enough to support the above scenarios?
I have a question regarding the use of face-to-face prolonged service codes: 99354-99355. Specifically, the use of these codes outside of the time component (i.e. more than 50% counseling &/or coordinating care) and additional time spent (i.e. "an additional 60 minutes spent discussing other treatment options").
What if the physician documents the following scenarios:
Scenario #1:[/B] “The patient's primary language is not english and through the use of an interpreter, I have spent an hour with this patient and her family obtaining the history, exam, and medical decision making.” (Let's say the key components qualified for a 99214).
Would I bill 99214 & 99354?
Scenario #2: " The patient is status post a CVA accident and has significant aphasia. This visit took 75 minutes to obtain the history, exam, and medical decision making" (Let's say the key components qualified for a 99203)
Would I bill 99203 & 99354?
My concerns are with Medicare review audits. Is the documentation enough to support the above scenarios?