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Pscychiatry E&M Coding

D

dbohannon

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Location
Wolcott, VT
Do we follow the time guidelines for the established patient codes for the Med Management service provided?

Somewhere my pscychiatrist feels that for 20 minutes she can only bill a 99212.
I disagree and would advise coding 99213.

Thought? Guidance? Comments!

Thanks,
Darcy Bohannon, CPC
 
Assuming you are billing the visit based on counseling time and the requirements for such are met:
You would indeed bill a 99213 for 20 minutes of total time spent with the patient.
 
The 2013 description states that typically, 15 minutes are spent with the patient for a 99213. Our psychiatrist usually sees patients for 15-20 minutes when doing med management. I'd be interested in seeing what others have to say as well. I'm pretty new to coding in general, and definitely new to coding E/M's for our psychiatrist.
 
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