documenting time

charonate

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Can somebody tell me whether I can up code an E/M visit if such has documentation for time counseling?.

Thank you,
maria
 

Lisa Bledsoe

True Blue
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To code based on time, documentation must state the total time spent with the patient, that greater than 50% or more of the time was spent counseling/coordinating care, and describe the counseling/coordination of care.:)
 
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