Name of the Procedure:

Prolonged Preventive Service(s)

• Common Names: Extended preventive care, Additional preventive consultation
• Technical/Medical Term: Prolonged preventive service(s) (HCPCS code G0514)

Summary

This procedure involves spending additional time with a patient beyond the typical duration of standard preventive services. It's conducted in an office or outpatient setting and requires direct, face-to-face contact with the healthcare provider. This additional time allows for a more comprehensive evaluation and discussion regarding the patient's health and preventive care needs.

Purpose

Medical Conditions or Problems It Addresses:

• Chronic disease management
• Complex preventive care needs
• In-depth health education and counseling

Goals or Expected Outcomes:

• Thorough assessment and management of health risks
• Development of personalized preventive care plans
• Enhanced patient understanding of their health conditions and preventive strategies

Indications

Specific Symptoms or Conditions:

• Patients with multiple chronic conditions requiring detailed assessment
• Individuals needing extensive counseling on preventive measures
• Cases requiring a thorough review of health risks or lifestyle changes

Patient Criteria:

• Patients who need more than the typical time allocated for standard preventive services
• Individuals with complex medical histories or extensive health concerns

Preparation

Pre-Procedure Instructions:

• No specific preparation typically required.
• Patients should come prepared with any relevant medical history, medication lists, and questions they may have.

Diagnostic Tests or Assessments:

• None specifically required beforehand, but recent lab results or diagnostic tests should be available for review if relevant.

Procedure Description

Step-by-Step Explanation:

1. Initial standard preventive service is conducted.
2. Identification of the need for extended consultation time based on patient’s health needs.
3. Provision of additional 30 minutes of direct patient contact.
4. Detailed discussion on health risks, preventive measures, and lifestyle modifications.
5. Comprehensive documentation of the extended consultation in the patient's medical record.

Tools, Equipment, Technology Used:

• Standard office equipment and patient records.

Anesthesia or Sedation:

• Not applicable, as this is a consultation procedure.

Duration

Typically takes an additional 30 minutes beyond the standard preventive service time.

Setting

• Office or other outpatient settings (e.g., clinics, ambulatory care centers).

Personnel

• Primary Care Physician
• Nurse Practitioner
• Physician Assistant
• Registered Nurse (for support and documentation)

Risks and Complications

Common Risks:

• None, as this is a non-invasive consultation.

Rare Risks:

• None, except for potential patient fatigue from extended discussion.

Possible Complications and Management:

• Patient overwhelm or confusion: Managed by ensuring a clear, patient-centered approach and providing written materials when necessary.

Benefits

Expected Benefits:

• A more thorough and personalized preventive care plan.
• Improved patient knowledge and engagement in their own health care.

Realization of Benefits:

• Immediately or within a short period as patient implements advice and preventive measures.

Recovery

Post-Procedure Care and Instructions:

• Follow-up appointments as necessary.
• Adherence to the developed preventive care plan.

Expected Recovery Time:

• Not applicable as there is no recovery period; however, patients may need time to implement lifestyle changes.

Alternatives

Other Treatment Options:

• Standard duration preventive consultation.
• Group preventive sessions or workshops.

Pros and Cons of Alternatives:

• Standard duration: Less time for detailed discussion, lower cost.
• Group sessions: Broader information, less personalized.

Patient Experience

During the Procedure:

• Patients may experience an extended discussion, potentially covering complex and detailed health-related topics.

After the Procedure:

• Enhanced understanding and actionable steps for preventive care.
• May feel a sense of empowerment or relief, but occasionally may feel overwhelmed if a lot of information is presented.

Pain Management and Comfort Measures:

• Not applicable, as this is a non-invasive procedure focused on consultation and education.