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Click here for more sample CPC practice exam questions and answers with full rationale

Prolonged Services without Direct Patient Contact

We have situations whereby the Doctor is conducting a phone call to a patient who is out of state, and at that time the Doctor is reviewing patient Medical History and testing in order for the patient to be set up for a face to face consultation in the near future.

He typically spends 45-60 minutes reviewing and discussing these results and findings with the patient during that phone encounter.

The patient now comes in for their Initial face to face Office visit with the doctor, how would you code this?

Does the Prolonged Service w/out Direct Patient Care apply in this situation?

Medical Billing and Coding Forum

INDIRECT vs DIRECT and INCARCERATED vs STRANGULATED Inguinal Hernia (CPT)

This is my first time to code for a Hernia Repair with Mesh for an Indirect Inguinal Hernia.
Per the CPT book, I have to select between 1) reducible, 2) incarcerated, and 3) strangulated.
My conclusion is that Indirect is Incarcerated and Direct is Strangulated.
Please help.

Medical Billing and Coding Forum