Results 1 to 5 of 5

Physical with a E&M based on time?

  1. Default Physical with a E&M based on time?
    Medical Coding Books
    I have some pediatric physicians who do regular physicals but also send a great deal of time consulting about ADHA and other behavioral health disorders. These are hard to document without using a time statement. Can a time statement be used with a physical if is specifically states that time is over and above the time spent doing the physical?

  2. #2
    Columbia, MO
    If you are referring to the preventive levels, these cannot be upcoded or have prolonged time appended.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default
    I was referring to adding an E&M with a modifier 25 but instead of meeting the HPI, exam and MDM requirements using time instead since it is a mental health issue and hard to document.

    Dana CPC

  4. #4
    Milwaukee WI
    Default Problem focused established patient
    So what you would be coding would be a problem-focused established patient exam, based on time spent in counseling/coordination of care.

    For example: I spent 15 minutes with Johnny & his mother discussing Johnny's ADHD, medication options, behavior modification, and issues with schooling. 100% of this problem focused visit was spent in counseling/coordination of care.

    Ideally this would be documented as a separate note, not just buried in the report of the preventive exam.

    You would then code 99213-25 for this portion of the total visit.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. Default
    Thank you for your reply.


Similar Threads

  1. E&M based on time w/no exam?
    By in forum E/M
    Replies: 5
    Last Post: 03-19-2012, 11:37 AM
  2. Coding E&M based on time
    By Kmplunkett in forum E/M
    Replies: 2
    Last Post: 02-17-2011, 07:31 AM
  3. E&M coding based on time
    By oksanap in forum E/M
    Replies: 4
    Last Post: 07-08-2010, 01:59 PM
  4. Time Based E&M
    By JayRitten in forum E/M
    Replies: 1
    Last Post: 04-15-2009, 12:45 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.