CPT 99417 is an add-on code and can be used to bill for prolonged evaluation and management services beyond the required time of the primary procedure. This code is billed in units of 15 minutes and reported on the same date of service as the primary E/M service.
What Is CPT Code 99417?
CPT code 99417 is an add-on code and can be used for a prolonged outpatient evaluation and management (E/M) service that goes beyond the minimum time requirement for the primary service.
CPT 99417 can be used when the primary service level has been selected based on the total time spent, includes both times spent with and without direct patient contact, and is billed in units of 15 minutes.
For example, if the provider spends 30 minutes beyond the primary service, two units of 99417 will be billed.
The CPT book describes CPT code 99417 as: “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.”
The provider goes above and beyond the minimum time requirement for an outpatient evaluation and management (E/M) service, by spending extra time on the encounter date.
CPT 99417 is billed based on the total time spent and includes both times spent with and without patient contact.
The provider is taking extra care to ensure that the patient receives a thorough evaluation and management service and is going the extra mile to ensure that the patient’s needs are met.
This extra time spent on the E/M service is a testament to the provider’s commitment to providing high-quality patient care.
How To Use CPT 99417
Report a unit of CPT code 99417 for every 15 minutes of prolonged service time separately.
99417 can not be billed for any time unit less than 15 minutes.