tci ED Coding & Reimbursement Alert - 2024 Issue Q1

Reader Questions: Never Report Prolonged ED E/M Services

Question: Is there a way to account for extra time on an ED evaluation and management (E/M) service? Can we use prolonged services code +99417? AAPC Forum Subscriber Answer: No you can never use prolonged services 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 service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)) — or any other prolonged services code — on...

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