A question I am asked frequently is what to do if a Medicare wellness visit or welcome to Medicare visit is unusually lengthy.
Prior to 2018, the only alternative was to add a problem oriented visit, if that described the extra time. But if the additional time for the Medicare preventive service was all related to prevention, there was no additional reimbursement for the primary care clinician.
That changes January 1, 2018 | New HCPCS codes
CMS has developed two new HCPCS codes to be used with a short list of Medicare preventive services. These codes are prolonged services, used in addition to the preventive service, when the total of face-to-face time of the visit meet the threshold beyond the typical intra service time. More on that, and a chart with the intra service time later in the article. To learn more about Prolonged services codes, Medicare Preventive Services, and other important coding topics, become a member. Already a member? Login
More about Medicare Preventive Medicine Services