99417
Prolng op e/m each 15 min
Prolonged E/M service under CPT rules for payers recognizing this add-on.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
No national non-facility estimate is shown for this status or setting. This does not determine other payer coverage.
Billing guidance for 99417 is locked
- When to use it: the exact clinical situations that support billing 99417
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 2 mistakes that get 99417 downcoded or denied
Payer notes
Verify the plan, base-service pairing and current threshold. Commercial and Medicare Advantage policies are not universally identical.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99417 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.