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May 2021

Reminder: Using HCPCS code G2212

We posted a web‑DENIS message in January to let you know the following:

  • When billing an add‑on code for prolonged office or other outpatient evaluation and management services with a primary CPT procedure code of *99205 or *99215, you should use HCPCS code G2212 instead of *99417. CPT code *99417 isn’t covered.

For more information on HCPCS and CPT codes, refer to our 2021 CPT and HCPCS Update document, which was posted on the Clinical Criteria & Resources page of web‑DENIS early this year. It provided information on the new and deleted codes as of Jan. 1, 2021.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2020 American Medical Association. All rights reserved.
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