Article Overview

This article addresses a coding question about CPT prolonged service reporting and scope of practice limitations for non-physician health care professionals. It explains the topic in the context of outpatient, inpatient, observation, and office or other outpatient E/M services, and it is relevant to coders, compliance staff, and clinicians who need to understand how professional qualifications affect reporting. The discussion includes references to CPT 2022 guidance and focuses on the relationship between primary E/M services and associated prolonged service reporting.