I have a couple Neurohospitalists. After talking to them and hearing the amount of time they are putting into their patients, I am wondering if Time based coding would be a better option for them. They do a lot of counseling and coordination of care due to being hospital providers and they can show their documentation for that. The only hiccup would be that they are always the consulting MDs and we follow Medicare coding guidelines for all payers so we don't use consult codes. That limits us to Subsequent inpatient codes (99231-99233) and outpatient visit codes (99202-99215) with which it's incredibly difficult to capture the total time for some of their visits.
Can we add on an apprpriate prolonged service code, if so what are the documentation requirements that need to be shown?
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Kira D. Flint CPC, COC, CEDC
time based + prolonged service
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