Non-Physician Consult 11-20

Prolonged Evaluation and Management (E/M) services are essential in certain situations, requiring precise coding to capture the extended nature of patient encounters. CPT code 99442 designates prolonged evaluation and management (E/M) service in the inpatient setting, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with inpatients, extending beyond the typical duration of E/M services.

Details

CPT code:

99442

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Non-Face-to-Face Services

Type:

Telephone Services

99442 plays a crucial role in E/M services, representing prolonged service in the inpatient setting. Healthcare providers utilize this code when engaging in prolonged face-to-face time with inpatients, extending beyond the usual duration of E/M services. Its application ensures accurate documentation of efforts in providing extended care during patient encounters in the inpatient setting.

Under what category does Non-Physician Consult 11-20 fall?

Category I

What is the billing unit for Non-Physician Consult 11-20?

Per Encounter

Modifiers

Clinical use

Prolonged physician service in the inpatient or observation setting, requiring direct patient contact beyond the usual service.

Documentation

Prolonged preventive service in the office or other outpatient setting, directly related to the prevention or reduction of illness or disability; each additional 30 minutes. Clearly document each additional 30-minute increment of prolonged preventive service, including the start and end times, and describe the specific activities or discussions justifying the additional time.