Billing for Time with In Office Treatments

Messages
4
Location
Mooresville, NC
Best answers
0
I have a provider wanting to bill for time for a visit in which a skin check was performed. While the provider did spend a large amount of time with the patient, there were minor procedures/treatments performed as well and I am not sure billing for time would be the best route considering it will be difficult to differentiate how much time was spent on the procedures from the rest of the visit that would actually qualify toward the E&M. How would you handle this type of situation? Would you recommend just billing MDM for the conditions which did not result in minor procedures/treatments done in office?

Example:
Actinic Keratoses: LN2 treatment in office
Multiple Neoplasms of Uncertain Behavior: Biopsies
Abscess: I&D in office and antibiotic prescription
Lentigines, Seborrhreic Keratoses and Benign Nevi: counseling and OTC recommendations
 

csperoni

True Blue
Messages
1,137
Location
Selden
Best answers
3
To even consider time based billing, you must know the time spent day of E/M excluding the time on other billed procedures. If you do not have that information, then your only option is MDM.
 
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