deyoung
Guru
Hi, I am new to E/M coding and trying to understand how to document a time based visit (counseling &/or coordination of care >50%) for Psychiatry.
My understanding, is they only have to document:
1. Total time of visit
2. State that visit consisted of >50% counseling and/or coordination of care.
3. Briefly describe counseling &/or coordination of care topics.
They don't have to include Hx, Exam, & MDM documentation. So, it may be a short note. Is this correct? It just seems to simple to me. Thanks for your input!
My understanding, is they only have to document:
1. Total time of visit
2. State that visit consisted of >50% counseling and/or coordination of care.
3. Briefly describe counseling &/or coordination of care topics.
They don't have to include Hx, Exam, & MDM documentation. So, it may be a short note. Is this correct? It just seems to simple to me. Thanks for your input!