CPT® 2016: Get Ready for 2 New Prolonged Services Codes

Why This Topic Matters

The article matters because prolonged service work can affect E/M reporting and practice reimbursement, and the CPT 2016 changes may require updates to coding workflows and documentation review. It also flags potential policy and payment questions that practices may need to monitor.

Article Sections

1. Investigate 99415 and 99416 Surprise

   Introduces the new CPT 2016 add-on prolonged services codes and explains the general context for reporting clinical staff time in office or outpatient E/M services.

2. Update Codes 99354, 99355

   Summarizes revisions to existing prolonged services codes and notes that the article addresses changes to their descriptors and reporting context.

3. Brush Up on Prolonged Service Rules

   Reviews broad timing and reporting considerations for prolonged services, including how the article frames use of these codes alongside E/M services.