New Medicare Codes OUTPATIENT Billing Code Location of

New Medicare Codes OUTPATIENT Billing Code Location of Care Definition F 2 F Prolonged Service IL, ALF, MC Outpatient 99354 F 2 F Prolonged Service IL, ALF, MC Outpatient 99355 Reimbursement Prolonged Services with Direct Patient Contact - when a clinician provides services beyond the usual service in the outpatient setting. Documentation must show additional time (b/t 30 -74 min) was above and beyond time spent performing the E/M service. Same as above but for additional time. Documentation must show additional time (b/t 75 -104 min) was above and beyond time spent performing the E/M service. DEPARTMENT OF Global & Continuing Education 138. 67 104. 54

New Medicare Codes INPATIENT Billing Code Location of Care Definition F 2 F Prolonged Service Inpatient 99356 F 2 F Prolonged Service Inpatient 99357 Reimbursement LTC, SNF, Hospital Prolonged Services with Direct Patient Contact - when a clinician provides services beyond the usual service in the inpatient setting. Documentation must show additional time (b/t 30 -74 min) was above and beyond time spent performing the E/M service. 98. 35 LTC, SNF, Hospital Same as above but for additional time. Documentation must show additional time (b/t 75 -104 min) was above and beyond time spent performing the E/M service. 98. 35 DEPARTMENT OF Global & Continuing Education

New Medicare Codes WITHOUT DIRECT PATIENT CONTACT Billing Code Location of Care Definition Non F 2 F Prolonged Service 99358 Non F 2 F Prolonged Service 99359 Reimbursement ALL Prolonged Services without Direct Patient Contact - Documentation must show additional time (b/t 30 -74 min) was above and beyond time spent performing the E/M service. 119. 56 ALL Prolonged Services without Direct Patient Contact - Documentation must show additional time (b/t 75 -104 min bill both 99358+99359) was above and beyond time spent performing the E/M service. 57. 52 DEPARTMENT OF Global & Continuing Education

New Medicare Codes Dementia Care Plan Code: G 0505 • Multidimensional assessment that includes cognition, function, and safety; evaluation of neuropsychiatric and behavioral symptoms; review and reconciliation of medications; and assessment of the needs of the patient’s caregiver. • Informational Guide Website: http: //www. alz. org/careplanning/downloads/careplanning-toolkit. pdf DEPARTMENT OF Global & Continuing Education