You do have the option to bill based on time for e/m codes. Total time of the visit must be documented, along with time spent in counseling/coordination of care ( which must be atleast 1/2 of the time) and some documentation of what was discusssed. If you look in your cpt book, you'll see the time estimates listed in each code description.Can a physician bill a 99205 or any e&m based on time only? There wasn't an exam done. The patient was seen basically to discuss her options.... Help please! Thanks
I'd have to say... that their must has to be atleast a brief HPI or CC based on the provider conseling the patient on options? Options for what? What is the provider counseling the patient on? That could be your brief HPI or CC. You would atleast have something, ya know.I know you can have E&M's where time trumps everything else. And I have read the "time" guidelines in the CPT however I wasn't sure if all the rules are the same when the entire visit is only time spent and nothing else was done. No HPI, no ROS, no exam and no MDM just time spent counseling the patient on options.