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Wiki Observation Based on Counseling

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dtricia

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Is an Observation code billable based on counseling/co-ordination of Care? I don't get these very often and I cannot find it addressed. Provider has made a time statement and it is plausable in the scenario due to her diagnosis, however I do not know if it is allowed. He does need meet level without it.
Tricia D.
 
Per the CPT book these codes can be billed using time, CMS requires that the total time spent (floor/unit time can be used also), more than 50% of the total time spent counseling/coordination of care and there also should be documentation of what was discussed during the counseling/coordination.
 
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