99415 Prolng clin staff service first hour
Also known as: prolonged staff service office, clinical staff extended, nurse prolonged service
Prolonged clinical staff service (the service time is performed entirely by clinical staff in the office or other outpatient setting) requiring direct patient contact; first hour of service.
In Plain Language
Extended clinical staff visit; Prolonged nursing visit
Clinical Context
Used when clinical staff spends prolonged time in direct patient contact in office settings performing extended services, such as detailed patient education or complex care coordination.
RVU Information
CPT 99415 does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
This code has a work RVU of 0.00, meaning it does not have a physician work component assigned by CMS. In the Evaluation & Management category, 8% of codes share this characteristic.
Specialties
Frequently Asked Questions
What is CPT code 99415?
CPT 99415 (Prolng clin staff service first hour) is a Evaluation & Management code. Prolonged clinical staff service (the service time is performed entirely by clinical staff in the office or other outpatient setting) requiring direct patient contact; first hour of service.
Who uses CPT code 99415?
CPT 99415 is used by All Specialties. Used when clinical staff spends prolonged time in direct patient contact in office settings performing extended services, such as detailed patient education or complex care coordination.
When is CPT 99415 used?
Used when clinical staff spends prolonged time in direct patient contact in office settings performing extended services, such as detailed patient education or complex care coordination.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.