December 2024 page 22
Coding Brief: Reporting E/M Prolonged Services (99415-99417)
The guidelines for office or other outpatient evaluation and management (E/M) services were revised in the CPT 2021 code set,
including the definitions of medical decision making (MDM) and time. In addition to these changes, codes 99415 and 99416 were revised and new prolonged services code 99417 was added to the CPT 2021 code set. This article provides an overview of the intent and use of prolonged services codes 99415-99417, including the differences between prolonged services with or without direct patient contact provided by clinical staff under
the...
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