AMA CPT® Assistant - 2016 Issue 2 (February)

Evaluation and Management: Prolonged Services (Q&A) (February 2016)

February 2016 page 13 Evaluation and Management: Prolonged Services Question: May nurses and certified medical assistants report codes 99415 and 99416 for prolonged clinical staff services with physician or other qualified health care professional supervision? Answer: Nurses and certified medical assistants, who are allowed by law, regulation, and facility policy, may report code 99415, Prolonged clinical staff service (the service beyond the typical service time) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service), and code...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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