CPT^® 99417, Under Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service

The Current Procedural Terminology (CPT^®) code 99417 as maintained by American Medical Association, is a medical procedural code under the range - Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service.

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Summary

The provider spends additional time on an outpatient evaluation and management service. Use this code for each additional 15 minutes beyond the minimum required time.

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25075 x3 , 99215 , 99417 x2 with out separate documentation of OV time and procedure time?

The issue is the provider did not document separate time for the procedure (CPT: 25075) E&M of 99215 &99417 X2 is coded by provider based on total time of 95 mins. I am questing the E&M of 99215 with ... [ Read More ]

25075 x3 , 99215 , 99417 x2 with out separate documentation of OV time and procedure time?

Time spend on each activity should be documented. if 99215 was documented not based on time but on documentation. then the time spend for 99417 should have additional elements and documentation carved... [ Read More ]

25075 x3 , 99215 , 99417 x2 with out separate documentation of OV time and procedure time?

Provider wanting to bill CPT code 25075 X 3 , 99215, 99417 x2 . provider documented chart review time ( 1 min), documentation time (11 min) , Face Time (9:42am to 10:47am), and Total time ( 95 min) fo... [ Read More ]

G2212/99417

Hello - what has everyone's experience been with what payers accept G2212. Is it only Medicare or both Medicare Advantage plans?" OR, do Medicare Advantage plans vary?... [ Read More ]

Denied Telehealth billing for EM code with 99417. Modifier GT cannot be used with 99417 so how would you bill this.

[QUOTE="scott.jenkins@advancedmd.com, post: 509353, member: 786228"] Hello. I have a client in Washington who is billing telehealth visits for an EM code with 99417. Modifier GT cannot be used with 99... [ Read More ]

Coding for extended time consulting with other providers

There are prolonged care codes, whether on the date of an E/M service (usually 99417or G2212), or a different date (99354, 99355). Each carrier may have slightly different guidelines, particularly f... [ Read More ]

Telehealth billing for E/M code with add on code; modifier used for 99417?

Hello. I have a client in Washington who is billing telehealth visits for an EM code with 99417. Modifier GT cannot be used with 99417 so how would you bill this? REGENCE of WA requires POS 02 and mod... [ Read More ]

Denied Telehealth billing for EM code with 99417. Modifier GT cannot be used with 99417 so how would you bill this.

Prolonged Service Codes G2212 and 99417

[QUOTE="Konda Montini, post: 508141, member: 32258"] Hello Coders! I have a question. We have been assigning 99354 & 99355 for our prolonged service codes with our 99205/99215 office visits. I am ... [ Read More ]

Prolonged Service Codes G2212 and 99417

Hello Coders! I have a question. We have been assigning 99354 & 99355 for our prolonged service codes with our 99205/99215 office visits. I am now seeing the prolonged service code 99417 to be ass... [ Read More ]

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