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Billing Prolonged Services in 2024 - AAPC Knowledge Center CPT® add-on codes +99417 and +99418 describe prolonged services with or without direct patient contact on the date of an E M service in the outpatient or inpatient setting, respectively
CPT® Code 99417 - Prolonged Service With or Without Direct Patient . . . The Current Procedural Terminology (CPT ®) code 99417 as maintained by American Medical Association, is a medical procedural code under the range - Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service
Make Quick Work of Prolonged Care Coding - AAPC In 2023, the description of CPT® 99417 was expanded to include other outpatient E M services beyond office visits and now may be used with outpatient consultations (99245), home or residence visits (99345, 99350), and cognitive assessment and care planning (99483)
Extend Prolonged Service Smarts With New Codes : E M 2023 - AAPC For 2023, CPT® removes the words “beyond the minimum required time” from the descriptor for +99417, which now reads (Prolonged outpatient evaluation and management service (s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each
CPT® Code - Prolonged Service With or Without Direct Patient . . . - AAPC The Current Procedural Terminology (CPT) code range for Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service 99417-99418 is a medical code set maintained by the American Medical Association
2025 Brings New Telemedicine Codes - AAPC Knowledge Center Unlike the new telemedicine codes (98000-98015), Medicare does allow reimbursement for CPT® code 98016 For dates of service on or after Jan 1, 2025, use this new code instead of deleted HCPCS Level II code G2012
Evaluation and Management (E M) Code Changes 2021 - AAPC You may use new prolonged services code +99417 as an add-on code with 99215 for services 55 minutes or longer for payers who follow AMA rules As noted above, Medicare provides a different code for prolonged services, and that code has its own rules 2021 CPT ® E M Guidelines Overview Because of the 2021 changes to the office and outpatient E M codes, the CPT ® E M guidelines saw revisions
Evaluation and Management (E M) Code Changes 2023 - AAPC The 2023 guidelines state +99417 and +99418 represent “combined time with and without direct patient contact … provided by the physician or other qualified health care professional on the date” of the service Per CPT ®, +99417 and +99418 are appropriate once the service reaches 15 minutes beyond the primary code’s required time
Get to Know the 2025 CPT® Revisions : CPT® 2025 - AAPC For the highest level synchronous audio-video and audio only E M services (98003, 98007, 98011, and 98015), you’ll be able to use existing prolonged service add-on code +99417 (Prolonged outpatient evaluation and management service (s) time with or without direct patient contact beyond the required time of the primary service when the primary