Effective for claims with dates of service on or after January 1, 2018, prolonged preventive services will be payable by Medicare when billed as an add-on to an applicable preventive service that is payable from the Medicare Physician Fee Schedule, and both deductible and coinsurance do not apply. HCPCS Codes G0513 and G0514 for prolonged preventive services will be added as part of January1, 2018, HCPCS update and the coinsurance and deductible will be waived.
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Tag Archives: Prolonged
Prolonged Services
Hello I have a patient who after his E/M visit was admitted to hospital by Dr. but stayed in office for 4 hours under supervision until an open room was available at hospital. Would I use prolonged visit codes? Or not include at all.
Any advise would be helpful. thank you
Any advise would be helpful. thank you
* CNM Prolonged Services *
I work at a FQHC organization and we have a CNM who spends prolonged hours with a patient. She is in attendance at all times, but does not deliver, only monitoring. My question is as an FQHC, are we allowed to charge for prolonged services because she does not get reimbursement for the delivery? Or does everything fall under global? Thank you
CMS Now Covers 99358, +99359 Prolonged Services
The Centers for Medicare & Medicaid Services (CMS) typically does not allow separate payment for physician services that do not require face-to-face time with a patient. As of Jan. 1, 2017, CMS has made an exception and will now allow Medicare coverage for non face-to-face prolonged service codes 99358 Prolonged evaluation and management service before […]
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