Coding Based on Time

em2177

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San Gabriel Valley,CA
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Is this correct?

If a physician spends more than 50 percent of a face-to-face visit counseling or coordinating a patient's care, the physician can code the visit on the basis of time, even if the history, exam or medical decision making elements are lacking.

Thank You, :)
 

ollielooya

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Everett, WA
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True, part of which is that ALL the time must be face-to-face, and MORE than half the total time must be spent in counseling/coordination of care. Documentation must list total time, amount of total time spent in counseling and nature of the counseling.
 

veloso

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@dabroussard
But if the counseling is less than 50 %, could we bill the E/M visit plus the 99401-99409 category?

Ty
 
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