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E/M Times

  1. #1
    Question E/M Times
    Medical Coding Books
    If a Dr sees an inpatient for 10 minutes, can they bill 99231 (this code says the Dr "typically" spends 15 minutes with the patient/on floor)?

    I thought I read somewhere the time has to be equal to or greater than 15 minutes, but I can't find that documentation.

    Thanks for your help!

  2. Default
    does the rest of the visit meet the qualifications for 99231?

  3. #3
    Yes, visit would be time based (counseling and/or coordination of care is more than 50%). Thx!

  4. #4
    Nevermind, I came across the following info from the CMS E/M Guide (after a lot of searching through all my E/M materials...I wish there was consistency in verbiage amoungst all the different interpretations! )

    "The Level I and Level II CPT books available from the American Medical Association list average time guidelines for a variety of E/M services. These times include work done before, during, and after the encounter. The specific times expressed in the code descriptors are averages and, therefore, represent a range of times that may be higher or lower depending on actual clinical circumstances."

    Thx for your help!

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