Prolonged Services CPT® Code range 99354- 99417

The Current Procedural Terminology (CPT) code range for Prolonged Services 99354-99417 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99354- 99417

November 14, 2022
The 2023 CPT errata and technical corrections released by the American Medical Association AMA go into effect Jan. 1 2023. Make sure to mark these upcoming changes in your CPT code book to stay on top... [ Read More ]
November 07, 2022
The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule MPFS and Quality Payment Program final rule released Nov. 1 allo... [ Read More ]
November 04, 2022
Auditors across the country learn what it will take to protect provider reimbursement from payer recoupment. Today concluded AAPCs second annual boutique conference that caters to the medical auditing... [ Read More ]
November 01, 2022
Industry experts explain the intricacies of the 2021 EM guidelines. During the Evaluation and Management EM Panel general session at AAPC8217s HEALTHCON in March an expert panel made up of a physician... [ Read More ]
November 01, 2022
Your words will carry more weight when you approach doctors in a thoughtful respectful way. In the coding and auditing world the provider is in the drivers seat. Generally the provider documents the s... [ Read More ]
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 ]
[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 ]
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 ]
[QUOTE="TThivierge, post: 506004, member: 216725"] Hello The list of prolonged service listed on pgs. 43& 45 in the CPT manual yr. 2021. CPT 99417 cannot be used by hospital and heard payers do not l... [ Read More ]
Hello The list of prolonged service listed on pgs. 43& 45 in the CPT manual yr. 2021. CPT 99417 cannot be used by hospital and heard payers do not like this CPT code. We use CPT 99354 for face to fa... [ Read More ]
CPT Guidelines changes in 2021 for codes 99202-99215 indicate that 99354 cannot be reported with this code set. See guidelines on pages 41 and 43 of 2022 CPT. Prolonged Care can only be added to level... [ Read More ]
I work for a BH office where they administer Spravato with the minimum monitoring for 2 hours. Has anyone been having issues with Magellan when billing an OV and the add on? We were told to use 9921... [ Read More ]
[QUOTE="SharonCollachi, post: 493013, member: 654943"] 99354 is no longer the extended time code for the office visit. I posted the chart here: [URL unfurl="true"]https://www.aapc.com/discuss/thread... [ Read More ]
99354 is no longer the extended time code for the office visit. I posted the chart here: [URL unfurl="true"]https://www.aapc.com/discuss/threads/g2212-99417.178608/?view=date#post-488733[/URL]... [ Read More ]
These codes for prolonged clinical staff time remain in 2021 but the time is calculated using the times assigned to the revised office E/M codes. Time begins 30 minutes after the highest total time in... [ Read More ]