You can code based on time spent if:
1) total face-to-face time is recorded (face-to-face includes unit/floor time for an inpatient)
2) amount of time spent in counseling/coordination of care (must be MORE than 50% of total)
3) Nature of the counseling/coordination of care
Your doctor has stated that s/he spent "60 minutes with patient and her mother discussing her concerns." This amount of total time would qualify for 99253 IF the physician also indicated that more than 50% of the total time spent was in counseling. This amount of counseling time (which it seems that all the 60 minutes is) would qualify for at least 99253 and maybe a higher level ... if we knew how much the TOTAL face-to-face time was.
The problem is that your physician didn't fully document. But you're on the right track. Can s/he do an addendum to clarify?
F Tessa Bartels, CPC, CEMC
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