E/M Coding Alert - 2015 Issue 36
CPT® 2016: Get to Know Two New Prolonged Services Codes You Can Use Next Year
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Article Overview
This premium article explains a small set of CPT 2016 E/M changes that took effect January 1, 2016. It is aimed at coders, billing professionals, and compliance staff who need to understand the scope of the update, the types of services affected, and the broader policy implications discussed by the source.
Why This Topic Matters
Coding teams working with E/M and prolonged services need to track annual CPT updates that may affect reporting, documentation review, and reimbursement policy. This article helps readers identify which prolonged service topics changed for 2016 and why those changes were noteworthy.
Article Sections
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Get to Know 99415 and 99416
Introduces two new add-on prolonged clinical staff service codes included in the CPT 2016 update. The section discusses the general context for reporting staff time tied to evaluation and management services.
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Add Psychotherapy to 99354/5
Reviews revisions to existing prolonged services language for 2016 and notes the inclusion of psychotherapy in that code area. The section also summarizes commentary on the broader significance of the update.
What You Will Learn
- Which broad CPT 2016 E/M areas were updated
- How the article frames new prolonged clinical staff service reporting
- What changed in the prolonged services code language for existing CPT codes
- Why the update may matter to office, outpatient, and psychotherapy-related services
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
Codes Discussed
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