Under Review by DecisionHealth
Medically unlikely edit update caps prolonged office visits at 4 units
Effective Apr 1, 2021
Published Apr 5, 2021
Last Reviewed Apr 1, 2021
You’ll have to go through the cycle of file, denial and appeal if you report more than 60 minutes of prolonged services with office E/M visits 99205 or 99215 when the visit is coded based on time.
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