Center to Advance Palliative Care

For the most part, my APN colleague and I bill on time.

So you would use the subsequent code for the face-to-face. But what if your face-to-face is 100 minutes. Our subsequent codes only go up to 64 minutes. Can I use the prolonged care codes to make up the rest of the difference to account for the extra time I spent with this patient? Or should our subsequent or initial codes have more time ranges?

And, I believe I read in this forum that time spent communicating and coordinating the team related to the patient and family goals should be billed out under the prolonged codes, not part of the subsequent codes if it is not face-to-face. Is that right?

Lastly, if a patient is in ICU and unresponsive but we spend hours with them and/or their family, assisting with their symptom management and/or death, is that billable? I may not always be in the room and certainly the patient is not interacting with me.