tci General Surgery Coding Alert - 2021 Issue Q2

E/M: Here’s Why the Payer Impacts Your Prolonged Service Coding

Only outpatient codes take G2212 or +99217. Depending on your payer(s) for outpatient evaluation and management (E/M) prolonged service claims, you may have been battling the discrepancies between two codes since Jan. 1. If you still have uncertainties, we have the answers to several frequently asked questions (FAQs) that can help you out. Know the Roots of the Problem CPT® 2021 introduced +99417 (Prolonged office or other outpatient evaluation and management service(s) beyond the minimum required time of the primary procedure which has been selected using total time, requiring total time with or without direct patient contact beyond the...

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