I don’t have the grid in front of me but once you reach 75 minutes then you could bill 99417 per CPT. CMS on the other hand is stating you need to meet the max amount of 89 minutes in order to bill 99417.Hi everyone,
I have a question regards to the new Prolonged Service Codes 99417; this code is to apply in addition to E/M codes 99205 & 99215 if you code based by time. I do understand that this code can not be applied for any time unit less than 15 minutes but according to the guidelines 99205 is 60-74 minutes. If I were to use code 99417 in addition that means the provider must spent 89 minutes Correct? Since less than 15mins doesn't count but how come the 2021 CPT book shows 75-89 minutes? Any feedback would be appreciated!
Thank you so much!