Prolonged services in the office or other outpatient setting, when provided via telehealth

Under what category does Prolonged services in the office or other outpatient setting, when provided via telehealth fall?

Category I

What is the billing unit for Prolonged services in the office or other outpatient setting, when provided via telehealth?

Per prolonged evaluation and management service

Modifiers

Typically, no modifiers are applied, but -59 for distinct procedural service can be used

Clinical use

These codes are used for prolonged evaluation and management services, documenting extended face-to-face time with patients to provide additional care beyond standard visit durations.

Documentation

Proper documentation should include the reason for the extended service, patient information, additional time spent, and specific details of the prolonged service provided. Clear records support billing for extended patient care.