99417
E/M EstCMS status: IProlonged outpatient evaluation and management service, each 15 minutes of total time beyond the threshold of the primary E/M code.
Work RVU
0.61
Practice RVU
0.31
Malpractice RVU
0.04
Total RVU
0.96
2026 Medicare payment
$32.06
National GPCI = 1.000 · Conversion factor $33.4009 · Non-facility
Model this code
Drop 99417 into a scenario to see how unit volume rolls up to annual wRVUs, gross collections, and bonus.
Open in calculator →When to use it
Add-on when total time on date of encounter exceeds the threshold for 99205 (75 min) or 99215 (55 min). Each unit = 15 additional minutes.
Documentation checklist
- ✓Total time on date of encounter, documented.
- ✓Time must exceed the threshold by at least 15 minutes (the first unit only counts when you cross the next 15-min increment).
Common pitfalls
- !Medicare does not pay 99417 — Medicare uses G0316/G0317/G0318 instead.
- !Billing 99417 with a 99214 — only attaches to 99205 or 99215.
Payer notes
Commercial payers accept 99417; Medicare requires G0316 (office) instead.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.