Medicare Claims Processing Manual (Pub. 100-04), Ch. 12 § 30.6.15.1
Prolonged Services – General Rules
30.6.15.1 - Prolonged Services – General Rules
(Rev. 11842; Issued; 02-09-23 Effective:01-01-23; Implementation: 05-09-23)
Prolonged E/M services may be reported for certain E/M visit families, when the total visit
time spent by the practitioner exceeds a certain time threshold. Prolonged E/M services are
reported using Medicare-specific coding.
See section 30.6.18 for rules regarding billing of E/M visits that are split (or shared) and
involve prolonged service time.