by Medical Billing | Mar 22, 2012 | CPT modifiers
First Coast Service Options Inc. (FCSO’s) performed analysis on the use of the KX modifier. Data indicates a pattern where some providers are submitting the KX modifier prior to the beneficiary’s therapy cap being reached. For the first month of calendar year 2012,...
by Medical Billing | Mar 17, 2012 | CPT modifiers
CPT-4 Code 99357 To report prolonged inpatient E&M services, CPT-4 codes 99357 (each additional 30 minutes) must be billed in conjunction with code 99356. Billing Calculations CPT-4 codes 99356 and 99357 are subject to the least restrictive frequency limitation as...
by Medical Billing | Mar 14, 2012 | CPT modifiers
Changes in Prolonged Services Codes The Medicare Claims Processing Manual has been updated to address prolonged services codes in order to be consistent with changes/deletions in codes and changes in typical/average time units in the American Medical Association...
by Medical Billing | Mar 10, 2012 | CPT modifiers
Prolonged Services CPT CODE AND Description CPT 99354 – Prolonged physician service in the office or other outpatient setting, requiring direct (face-to-face) patient contact beyond the usual service – first hour (List separately in addition to code for...
by Medical Billing | Mar 6, 2012 | CPT modifiers
Physician Standby Services (99360) Code 99360 is used to report physician standby service that is requested by another physician and that involves prolonged physician attendance without direct (face-to-face) patient contact. The physician may not be providing...
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