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Wiki E&M based on MDM with prolonged 99417

dbirt13

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Can I bill prolonged 99417 is E&M is based on MDM?
 
I responded in your other post.
it is best to only post a question once in the forums. it makes it easier to search for answers, in the future.

but here was my response:
no.
the 99215 must have been determined by time.

the CPT description of 99417 (emphasis added by me):


Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)
 
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