CPT® 2016: Get the Scoop on 2 New Prolonged Services Codes You Can Use Next Year

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a small set of CPT 2016 updates tied to prolonged services in evaluation and management reporting. It is aimed at coders, billing professionals, and clinic staff who need to understand what changed for the new year, how the update relates to office and outpatient services, and why the changes may affect documentation, reimbursement, and future policy interpretation.

Why This Topic Matters

Understanding these CPT changes helps practices keep E/M reporting aligned with the new code set updates and avoid missing reportable prolonged service work. The article is relevant for organizations that track annual CPT revisions and their possible impact on reimbursement and compliance.

Article Sections

  1. Introduction to the 2016 CPT changes

    An overview of the year-end coding changes and the general focus on evaluation and management services. The section frames the article’s scope and why the updates are being discussed.

  2. New prolonged clinical staff service codes

    Discussion of the new add-on prolonged services category for clinical staff work in the office or outpatient setting. The section also touches on how the changes may affect reporting and reimbursement expectations.

  3. Revisions to prolonged services and psychotherapy

    Coverage of updates to existing prolonged services codes and the addition of psychotherapy to the prolonged services area. The section includes commentary on how the revised language may influence future policy.

What You Will Learn

  • What types of CPT 2016 prolonged services updates are discussed
  • Which evaluation and management reporting areas are affected
  • How the article frames the relationship between prolonged services and psychotherapy
  • What policy and reimbursement questions the updates raise for practices

Who Should Read This

  • Medical coders
  • Billing specialists
  • Revenue cycle staff
  • Physician office staff
  • Compliance professionals

Codes Discussed


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