Wiki Level - MDM vs BBOT

[rhathaway]

If a patient was seen for a pre-op exam and the MDM is moderate but the provider has a time statement of 25 minutes - would you bill based on the MDM or the BBOT statement - (would you lower the e/m because of the time statement)?

 

[sls314]

If a patient was seen for a pre-op exam and the MDM is moderate but the provider has a time statement of 25 minutes - would you bill based on the MDM or the BBOT statement - (would you lower the e/m because of the time statement)?

No. You can bill whichever is more advantageous to the provider - time or MDM.

 

[jkyles]

Hi there, assuming the E/M encounter qualifies as a separately reportable service you can decide whether to report by time or MDM. Refer to p. 8 of the 2025 CPT manual.