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Evaluation and Management Services
- Evaluation and Management Services
- General Principles of Medical Record Documentation
- What Should Be Provided if Medical Records Are Requested for Review?
- Hospital Inpatient or Observation Evaluation and Management Add-On Code G0545 for Infectious Diseases
- Office/Outpatient Evaluation and Management Visit Complexity Add-on Code G2211
- Related Resources
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FAQs
- Admission and Discharge Services
- Advanced Care Planning
- Behavioral/Mental Health Services
- Chronic Care Management
- Complex and Chronic Care - HCPCS Code G2211
- Consultations
- Critical Care Services
- Documentation
- Emergency Department
- Examination
- Fee-For-Time Compensation Arrangements
- General E/M Information
- Global Period Services
- History
- IPPE and AWV Services
- Medical Decision Making
- New vs. Established Patients
- Nonphysician Practitioner Services
- Observation Services
- Preoperative Clearance
- Prolonged Services
- Provider Specialty
- Scribes
- Separately Identifiable Service
- Skilled Nursing Facility Services
- Smoking Cessation
- Split/Shared and Incident To Services
- Teaching Environment E/M Services
- Telehealth Services
- Time-Based Services
- Transitional Care Management
- Urgent Care
- Related Articles
NGS’ Prolonged Services Timetable 2025
| CPT Code | Prolonged Code | Base Time | CMS-Extra Minutes Needed | CMS Prolonged Time | Date Span |
|---|---|---|---|---|---|
| 99205 | G2212 | 60-74 | 15 from highest time threshold | 89 | DOS |
| 99215 | G2212 | 40-54 | 15 from highest time threshold | 69 | DOS |
| 99223 – Hosp/Obs. | G0316 | 75 | +15 (same as CPT) | 90 | DOS |
| 99233 – Hosp/Obs. | G0316 | 50 | +15 (same as CPT) | 65 | DOS |
| 99236 – Same-Day Admit/Disch. | G0316 | 85 | +25 | 110 | DOS + post 3 days = 4 days |
| 99306 – NF Initial | G0317 | 50 | +45 | 95 | 1 pre, DOS, 3 post =5 days |
| 99310 – NF Subsequent | G0317 | 45 | +40 | 85 | 1 pre, DOS, 3 post =5 days |
| 99345 – Home/Residence Initial | G0318 | 75 | +65 | 140 | 3 pre, DOS, 7 post =11 days |
| 99350 – Home/Residence Subsequent | G0318 | 60 | +50 | 110 | 3 pre, DOS, 7 post =11 days |
| 99483 – Cognitive Behavior Assess. | G2212 | 60 | +40 | 100 | 3 pre, DOS, 7 post =11 days |
Posted 8/7/2025