CCEP Lesson 9 Module 1.d Homework – Prolonged Services

Which code has the following definition: Prolonged office or other outpatient E/M service beyond the minimum required time of the primary procedure which has been selected using total time with or without direct patient contact beyond the usual service, on the date of the primary service, each 15 minutes of total time. 

A 16 year old female with a long history of clinical depression recently moved to town and is new to the clinic. The patient had previously been hospitalized in multiple institutions over the past 5 years. Previous visits records were reviewed extensively prior to the face-to-face encounter. After reviewing all the records (an extensive amount), the physician then discusses the case with previous providers to assure they have an updated history. The patient is seen for evaluation, a plan for care is developed and discussed with the patient and then the clinician documents all of the relevant details in the chart note and indicates that the evaluation took 77 minutes of total time. Code the prolonged service code only:

Which Prolonged Services codes would be used when a QHP provides non face-to-face E/M services on a date that is different that the date of the F2F evaluation and management service?

Which Prolonged Services code(s) would be used when clinical staff provides face-to-face prolonged services that are supervised by the QHP?

A patient is admitted into the hospital and, along with a well-written note, the provider documents a total encounter time of 93 minutes for the initial hospital visit. Code the correct prolonged services code for this service.