Time may be used to select an office or other outpatient services E/M code level whether or not counseling and/or coordination of care dominates the service. For all other E/M services, time may only be used when counseling and/or coordination of care dominates the service.
Use this code in conjunction with 99201-99255, 99304-99337, 99341-99350
Time associated with activities used to meet criteria for the E/M service is not included in the time used for reporting the psychotherapy service (ie, time spent on history, examination and medical decision making when used for the E/M service is not psychotherapy time). Time may not be used as the basis of E/M code selection and Prolonged Services may not be reported when psychotherapy with E/M (90833, 90836, 90838) are reported.