WAC 182-531-1350: Prolonged physician-related service

Link to law: http://apps.leg.wa.gov/wac/default.aspx?cite=182-531-1350
Published: 2015

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WACs > Title 182 > Chapter 182-531 > Section 182-531-1350











182-531-1300    

182-531-1400







Agency filings affecting this section







WAC 182-531-1350









Prolonged physician-related service.









(1) The department reimburses prolonged services based on established medicare guidelines. The services provided may or may not be continuous. The services provided must meet both of the following:
(a) Consist of face-to-face contact between the physician and the client; and
(b) Be provided with other services.
(2) The department allows reimbursement for a prolonged service procedure in addition to an E&M procedure or consultation, up to three hours per client, per diagnosis, per day, subject to other limitations in the CPT codes that may be used. The applicable CPT codes are indicated in the fee schedule.
[WSR 11-14-075, recodified as § 182-531-1350, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.08.090. WSR 10-19-057, § 388-531-1350, filed 9/14/10, effective 10/15/10. Statutory Authority: RCW 74.08.090, 74.09.520. WSR 01-01-012, § 388-531-1350, filed 12/6/00, effective 1/6/01.]