Wiki Billing for time

[JRae5M]

Is there a binding or persuasive standard that indicates E/M CPT codes
can only be selected based on total time if the note was completed on the DOS service?
I have Clinicians billing for total time, but their notes are being completed/signed 2 days later.
From what I can find, this is OK as long as only the work on the DOS is being claimed, but I
cannot find anything that addresses this. What is needed/required for documentation in this situation?

 

[thomas7331]

Code assignment is always based on the content of the note itself and not when it was completed or signed, so the coding is not affected by whether the provider completes the note on the same date or on a subsequent date.

 

[lgardner]

Code assignment is always based on the content of the note itself and not when it was completed or signed, so the coding is not affected by whether the provider completes the note on the same date or on a subsequent date.

I would add that the time that is being counted towards the LOS, can only include time spent on the date of the encounter.