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Counseling/Coordination of Care

  1. #1
    Richardson, Texas
    Default Counseling/Coordination of Care
    Medical Coding Books
    Scenario: The psychiatrists and neurologists in an Alzheimer's clinic spend a great deal of time in their subsequent visit with a patient in counseling and coordination of care. They discuss test results, the disease process, treatment options, risks and benefits, patient/family education, etc. This discussion typically takes 35 minutes during the first follow-up visit where the physician spends 45 minutes face-to-face with the patient and caregiver. Based on this scenario, the provider could report a 99215.

    Question: Is there anything wrong with a practice model where the second visit with the patient is reported based on time?

    Appreciate your input.


  2. #2
    Milwaukee WI
    Default Documentation for Counseling/Coordination billing
    No problem as long as your documentation:
    1) Shows the total amount of time spent with the patient
    2) Shows the amount of time spent in counseling/coordination of care (must be MORE than 50% of total time)
    3) Summarizes what the counseling/coordination of care consisted of.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Richardson, Texas
    We have the documentation you listed. It just felt a little unusual to routinely report services based on time spent in counseling and coordination of care.
    Thanks for the feedback. Any more input??

    Last edited by lhallstrom; 05-04-2009 at 03:33 PM.

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