CPT^® 99416, Under Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision

The Current Procedural Terminology (CPT^®) code 99416 as maintained by American Medical Association, is a medical procedural code under the range - Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision.

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Summary

The clinical staff spends additional time directly with the patient on an office or outpatient evaluation and management service. Use this code for each additional 30 minutes of additional time that the staff spends under the provider’s supervision.

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Telemedicine and Home Health Professional services

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Billing 96416 for more than 1 drug

So let me understand. Usually I would see this as starting with Rituxamab, and Doxorubicin, Etoposide, and Vincristine given from the same bag and infused together continuously. Since they're all at... [ Read More ]

Need help billing pro fee for extended visit with time

[QUOTE="jkyles@decisionhealth.com, post: 509058, member: 269282"] 99354 isn't used with office E/M visits. Since this is a Medicare Advantage plan I assume G2212 is appropriate: Prolonged office or ot... [ Read More ]

Need help billing pro fee for extended visit with time

99354 isn't used with office E/M visits. Since this is a Medicare Advantage plan I assume G2212 is appropriate: Prolonged office or other [URL='https://selectcoder.decisionhealth.com/MVC/DorlandsDicti... [ Read More ]

How would you bill for intranasal med administration with 2 hours of observation?

[QUOTE="mitchellde, post: 462720, member: 30657"] Look the new CPT codes for prolonged clinical staff 99415-99416, this should get you what you need for the observation time [/QUOTE] I have found that... [ Read More ]

Ketamine Therapy and Observation

[QUOTE="mkgriffin6862, post: 487334, member: 566701"] We are billing Medicare and Medicaid. The Spravato guy did not know what he was talking about then. We were told no G-codes and to use our usual 9... [ Read More ]

Prolonged Services in office setting

[TABLE] [TR] [TD]G2212[/TD] [/TR] [TR] [TD]Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected u... [ Read More ]

Ketamine Therapy and Observation

We are billing Medicare and Medicaid. The Spravato guy did not know what he was talking about then. We were told no G-codes and to use our usual 992XX code because we are not purchasing the ketamine o... [ Read More ]

Ketamine Therapy and Billing Codes

Hello, I work in a Mental Health Center and have been trying to get our Ketamine services paid for a long, long time now. Our sister facility has had the same problem. Spravato has been no help. We w... [ Read More ]

Ketamine Therapy and Observation

[QUOTE="eariddell, post: 468308, member: 301984"] Hi, Does anybody know the way to get reimbursed for the mandatory observation after administration of Sprevata or Ketamine infusion for depression or ... [ Read More ]

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