Prolonged Office/Outpatient E/M Visits

30.6.15.2 Prolonged Office/Outpatient E/M Visits (Rev. 11842; Issued; 02-09-23 Effective:01-01-23; Implementation: 05-09-23) When the practitioner selects visit level using time, the practitioner may report prolonged office/outpatient E/M visit time using HCPCS add-on code G2212 (Prolonged office/outpatient E/M services). The following table provides reporting examples. HCPCS Code(s) Total Time Required for Reporting* 99205 60-74 minutes 99205 x 1 and G2212 x 1 89-103 minutes 99205 x 1 and G2212 x 2 104-118 minutes 99215 40-54 minutes 99215 x 1 and G2212 x 1 69-83 minutes 99215 x 1 and G2212 x 2 84-98 minutes 99215 x 1 and G2212 x 3 or more for each additional 15 minutes. 99 or more *Total time is the sum of all time, including prolonged time, spent by the reporting practitioner on the date of service of the visit. HCPCS code G2212 (Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (List separately in addition to CPT codes 99205, 99215, 99483 for office or other outpatient evaluation and management services). (Do not report G2212 on the same date of service as 99354, 99355, 99358, 99359, 99415, 99416). (Do not report G2212 for any time unit less than 15 minutes)). Qualifying activities are listed in the CPT Codebook’s E/M Service Guidelines (Guidelines for Selecting Level of Service Based on Time). These activities may be counted when time is used to select visit level, when performed and medically reasonable and necessary.