tci Medicare Compliance & Reimbursement - 2016 Issue 3

Industry Note: CCI Takes Aim at New Prolonged Service Codes

Just as quickly as several new CPT® codes went into effect, the new edition of the Correct Coding Initiative (CCI) ensured that you can’t report them all together. CCI version 22.0, which went into effect on Jan. 1, impacts the following prolonged services codes: 99415 — Prolonged clinical staff service (the service beyond the typical service time) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service) 99416 — Prolonged clinical staff service (the service...

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