DecisionHealth, DecisionHealth - 2024 Issue 8 (August)

Stick with CMS’ prolonged service times for office/outpatient visits

Question: CMS’ prolonged service code G2212 was originally based on the maximum times in the descriptors for codes 99205 and 99215. But the 2024 CPT manual replaced the minimum and maximum time ranges for the office/other outpatient codes with minimum times that the provider must meet or exceed.
 
Should our practitioners continue to use Medicare’s prolonged service times for office/other outpatient E/M visits, or should they switch to the shorter times for prolonged service code 99417 in the 2024 CPT manual?

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