Prolonged Evaluation and Management

(EM) Services (99354 and 99355)

Have you ever had a patient take more time with the doctor than they were scheduled for?  Do you think that visit should be reimbursed at a higher rate than normal?  Well, prolonged time spent with a patient is reimbursable but you have to know how to capture those charges and what to document in the patient's chart to qualify for the additional money.

Did you know that many dental procedures can be billed to Medical Insurance?
Do you want to increase your income? Join Christine Taxin on Medical Billing for Dental Offices and learn how to incorporate medical billing into your practice.

The CPT manual provides Prolonged Service with Face-To-Face Contact codes 99354 and 99355 for situations just like this.  Specific criteria must be met to report these codes. Visit our website to learn more.