ENT coding based on time

[daniyellw]

Do you code up or down if based on time?

Ex. Dr. stated he spent 25 minutes with pt 50% counseling
New pt ENT

Will it be 99202 Vs 99203?

 

[smonahan]

Based on the time statement alone we do not code or upcode based on time where I work. If the provider documents what he counseled the patient on during the face to face encounter and it meets the criteria for time based coding, I believe you'd be safe to code based on time. We require our providers to document what they counseled the patient on for care coordination in order to maintain compliance.

 

[Mayzoo]

See if this helps:

https://www.aap.org/en-us/professio...ng-Time-to-Report-Outpatient-EM-Services.aspx

 

[CodingKing]

See if this helps:

https://www.aap.org/en-us/professio...ng-Time-to-Report-Outpatient-EM-Services.aspx

Good link. time based you need to be very specific. Must document the actual amount of time of the visit. It also need to be very clear what counseling and care coordination was done.