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Are providers allowed to submit the nursing facility codes (99304 – 99306, 99307 – 99310 and 99318) with the prolonged services procedure codes (99356 and 99357)?

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Are providers allowed to submit the nursing facility codes (99304 – 99306, 99307 – 99310 and 99318) with the prolonged services procedure codes (99356 and 99357)?

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Yes, effective July 1, 2008 the Medicare Part B contractor will allow physicians and qualified non-physician practitioners to report medically necessary prolonged services (CPT 99356 and 99357) with the companion nursing facility services in the procedure code range (99304 – 99306, 99307- 99310, and 99318). Reference source: MLN Matters article 5972 – http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5972.pdf.

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