Prolonged office or other outpatient evaluation and management service(s), each additional 10 minutes

Prolonged Evaluation and Management (E/M) services are crucial in certain situations, requiring precise coding to capture the extended nature of patient encounters. CPT code 99416 designates prolonged service in the office or other outpatient setting, requiring direct patient contact beyond the usual service time. This code is applied when healthcare providers engage in prolonged face-to-face time with patients beyond the typical duration of E/M services.

Details

CPT code:

99416

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Prolonged Services

Type:

Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision

99416 plays a crucial role in E/M services, representing prolonged service in the office or other outpatient setting. Healthcare providers utilize this code when engaging in prolonged face-to-face time with patients, extending beyond the usual duration of E/M services. Its application ensures accurate documentation of efforts in providing extended care during patient encounters.

Under what category does Prolonged office or other outpatient evaluation and management service(s), each additional 10 minutes fall?

Category I

What is the billing unit for Prolonged office or other outpatient evaluation and management service(s), each additional 10 minutes?

Per Encounter

Modifiers

-

Clinical use

Smoking and tobacco use cessation counseling visit; more than 10 minutes.

Documentation

Clearly document each additional 30-minute increment of prolonged preventive service, including the start and end times, and provide a detailed description of the activities or discussions justifying the additional time.

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