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Wiki Time based E/M for Wound Care

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tvillarino

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My Podiatrist is wanting to do time based billing on his Wound Care patients. These patients are mostly seen by nursing staff because they are just dressing changes. I have explained that you can not count the time spent by ancillary staff but he is not listening. Also, I was under the impression that wound care is not billable unless they are doing a significant amount of work/decision making or doing procedures. Does anyone know where I can find literature on this so I can present it to him at our meeting next week? Thanks in advance!
 
It's been made very clear that only doctor time is allowed for determining the E/M code billed. Show your doctor the section in the Guidelines at the front of the E/M section of the CPT code book which discusses this.
 
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