2017 CPT changes: Update rules for new prolonged service codes for smooth sailing this year

Why This Topic Matters

These updates affect whether prolonged services can be reported, how they are documented, and which related services may or may not be billed in the same period. Understanding the guidance helps reduce denials and supports accurate reporting under 2017 Medicare rules.

Article Sections

1. Overview of 2017 prolonged service updates

   Introduces the new prolonged service reporting changes for 2017 and explains the overall Medicare policy context. It also frames the article around revised guidance and billing considerations.

2. Date-of-service policy and payment context

   Discusses the timing rules for reporting prolonged services relative to related patient care and summarizes the Medicare clarification that aligned policy with CPT guidance. It also notes the general payment context for the new reporting options.

3. Documentation expectations for non-face-to-face work

   Describes the kinds of record review and supporting activities that should be documented for prolonged services. It emphasizes the need for clear timing and detailed recordkeeping.

4. Additional billing restrictions and companion code relationships

   Outlines the broader billing limitations involving prolonged services and other related reporting categories. It covers the policy framework for companion codes and related claim combinations.