DecisionHealth, DecisionHealth - 2020 Issue 12 (December)

With HCPCS debut, take note of new rules for prolonged services

You will count time in two ways if you report a prolonged service with an E/M office visit that is coded based on time next year. CMS calls CPT code 99417 — the add-on code for prolonged services — unclear and believes it can result in double-counting of time because the descriptor does not push far enough past the minimum time for the related office visit (99205 or 99215).

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