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CPT code 99417: 2026 billing rules, time chart, and G2212

CPT 99417 prolonged E/M billing 2026 hero banner: complete 15-minute units after eligible primary E/M codes, 99417 for CPT-following payers versus HCPCS G2212 for Medicare with its 14-minutes-later threshold, Medicare's invalid status indicator I for 99417, eligible base codes including 99205, 99215, and telemedicine codes, and same-date exclusions blocking psychotherapy add-ons, from ClaimMax RCM.

CPT code 99417 reports each complete additional 15 minutes of prolonged outpatient evaluation and management (E/M) time, after the practice selects an eligible primary service using total time. The first unit starts at 75 minutes with 99205 and 55 minutes with 99215 for payers that follow CPT rules. Medicare uses G2212 instead. Two separate rule […]