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First, consult the Clip & Save guide elsewhere in this article, then determine how you would code for inpatient care lasting 95 minutes for a patient who has just been admitted to the hospital. And, there is not a replacement code for this service for Medicare. California, Hawaii, Nevada, American Samoa, Guam, Northern Mariana Islands. If this is not an edit in the software system you use, speak with your vendor and ask that it be created for Medicare claims only. CMS is finalizing the application of HCPCS code G2212 "Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, As with all of these codes, both CPTand HCPCS, the prolonged code may only be added to the highest-level code in the category and then only when time is used to select the service. AMA Disclaimer of Warranties and Liabilities CPT codes, descriptions and other data only are copyright 2002-2020 American Medical Association (AMA). Instruction Courses and Skills Transfer Labs, Program Participant and Faculty Guidelines, LEO Continuing Education Recognition Award, What Practices Are Saying About the Registry, Provider Enrollment, Chain and Ownership System (PECOS), Subspecialty/Specialized Interest Society Directory, Subspecialty/Specialized Interest Society Meetings, Minority Ophthalmology Mentoring Campaign, Global Programs and Resources for National Societies, RetinaBiosimilars, Dual Inhibitors, and Coding for New Drugs, Boost Your MIPS Score: Pitfalls to Avoid, Tips to Follow, Cataract Comanagement ComplianceCMS Outreach Prompts Internal Reviews, MIPS 2023Quality Measure Benchmark Summaries, MIPS 2023Key Dates for Performance Year 2023, 2023 Fundamentals of Ophthalmic Coding Course (Live Virtual), 2023 Fundamentals of Ophthalmic Coding Course (Recording), Fundamentals of Ophthalmic Coding Course (Virtual), 2023 IRIS Registry (Intelligent Research in Sight) Preparation Kit, 2023 Codequest Virtual - Multistate (Recorded March 28), 2023 Coding Coach: Complete Ophthalmic Coding Reference, 2023 CPT: Complete Pocket Ophthalmic Reference, 2023 Retina Coding: Complete Reference Guide, 2023 Coding Assistant: Cataract and Anterior Segment, 2023 Coding Assistant: Pediatrics/Strabismus, Ophthalmic Medical Assisting: An Independent Study Course, Essentials of Ophthalmic Nursing kit RVSD (V1-V4), 2023 ICD-10-CM for Ophthalmology: The Complete Reference, 2022-2023 Basic and Clinical Science Course, Complete Print Set, 2022-2023 Basic and Clinical Science Course, Complete eBook Set, 2022-2023 Basic and Clinical Science Course, Complete Print and eBook Set, 2022-2023 Basic and Clinical Science Course, Residency Print Set, 2022-2023 Basic and Clinical Science Course, Residency eBook Set, International Society of Refractive Surgery. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. In particular, the add-on prolonged services HCPCS codes developed by CMS. JavaScript is disabled. The full 15 minutes of prolonged services must be met. G0318(Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to CPT codes 99345, 99350 for home or residence evaluation and management services).