For Medicare prolonged service, which code is used instead of 99417?

For Medicare prolonged service, which code is used instead of 99417?

• A. G2212
• B. 99215
• C. 99354
• D. 99423

Answer: (A)

Medicare reports prolonged office or outpatient evaluation and management time with a HCPCS code rather than the CPT prolonged-service code. When the encounter requires more time beyond the usual E/M service, use G2212 to indicate the additional prolonged time. This Medicare-specific code stands in for the CPT 99417 in the outpatient setting, ensuring the extra work is captured correctly on the claim. The base E/M code (the standard office visit code) still describes the overall visit, but the extra time is documented with the G-code. The other options either pertain to different settings (for example, home/domiciliary visits) or are not the Medicare mechanism for reporting prolonged outpatient time.

Medicare reports prolonged office or outpatient evaluation and management time with a HCPCS code rather than the CPT prolonged-service code. When the encounter requires more time beyond the usual E/M service, use G2212 to indicate the additional prolonged time. This Medicare-specific code stands in for the CPT 99417 in the outpatient setting, ensuring the extra work is captured correctly on the claim. The base E/M code (the standard office visit code) still describes the overall visit, but the extra time is documented with the G-code. The other options either pertain to different settings (for example, home/domiciliary visits) or are not the Medicare mechanism for reporting prolonged outpatient time.