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2024 September Network Connection
Effective date
Not stated in the notice
Identified
Sep 1, 2024
Summary
Prolonged services code +99417 reports prolonged total time on the date of an outpatient E/M service, and the initial 15-minute unit may be added once the time threshold for the primary E/M code has been surpassed by 15 minutes. The 2023 CPT code set revised the prolonged services codes, including CPT code 99417. Under the No Surprises Act, all providers are required to verify their directory information with Presbyterian every 90 days, and providers must be credentialed with Presbyterian before seeing any Presbyterian members.
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What to do
Action · 8 steps
01Already effective Jan.
021, 2022: All providers must verify their directory information with Presbyterian every 90 days, and there are no exemptions from this federal requirement.
03Physical health providers log in to the provider portal to make updates or request delegate access at www.phs.org/directoryupdate.
04Behavioral health providers log in to the behavioral health portal at www.magellanprovider.com.
05The next directory verification deadline in this notice was Sept.
0628, so check current applicability before completing any past deadline.
07Providers should separately list +99417 in addition to the code of the outpatient E/M service, and do not report +99417 for any time unit less than 15 minutes.
08Bill all services under the rendering provider, and confirm all providers are credentialed with Presbyterian before they see Presbyterian members.
Codes mentioned
99417
Original notice
2024 September Network Connection
onbaseext.phs.org · Always check the source before changing claims.