Results 1 to 7 of 7

E/M telephone conversations?? add to E/M

  1. #1
    Question E/M telephone conversations?? add to E/M
    Exam Training Packages
    When a physician speaks to a patient on the telephone and discusses medical information for over 30 minutes, when this patient comes into the office for an established visit can this time be added to the visit?

    I noticed with the non face to face 99441 code it states, not originating from a related E/M service provided within the previous 7 days nor leading to an E/M within 24 hours or soonest available.

    Please help

  2. #2
    Location
    Columbia, MO
    Posts
    12,558
    Default
    No you may not add this time on to the E&M and the 99441-99443 are for phone calls that are initiated by the patient, not for when the physician calls the patient.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    I have to disagree with Debra on this one.

    If the provider documents the call and time and it falls with in the range described under the telephone services you can add it to the E/M service. If it falls outside the range that is when you use the telephone E/M codes.

    Laura, CPC, CPMA, CEMC

  4. #4
    Location
    Columbia, MO
    Posts
    12,558
    Default
    I am not sure I follow you on this. To bill the 99441-99443 the patient has to be the one that initiates the call and it cannot be within 7 days or 24 hours of an office encounter. where do you see the instruction to add the time on to the office encounter? Not doubting just asking.

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    I'm working from home so I don't have access to many of my saved files, I have ( I hope I still have it anyway) a really good newsletter on this. What I was able to come up with just now was from CMS.

    http://www.cms.hhs.gov/Transmittals/...ds/R1423CP.pdf

    page 9. CMS doesn't cover the phone call cpts but they acknowledge when related to an E/M they should be considered to level the next E/M visit.

    I will try and remember to look for the other document when I am back in my office again.

    Laura, CPC, CPMA, CEMC

  6. #6
    Location
    Columbia, MO
    Posts
    12,558
    Default
    Thanks Laura I appreciate this.

    Debra A. Mitchell, MSPH, CPC-H

  7. #7
    Default
    Thank you this will help our providers

Similar Threads

  1. telephone E/M
    By bekston in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-14-2011, 01:17 PM
  2. Billing for Telephone Conversations
    By jennyifer in forum Billing/Reimbursement
    Replies: 4
    Last Post: 09-15-2011, 03:16 PM
  3. Billing for Telephone Conversations
    By jennyifer in forum Billing/Reimbursement
    Replies: 2
    Last Post: 08-31-2011, 03:40 PM
  4. Telephone E/M
    By nc_coder in forum Billing/Reimbursement
    Replies: 1
    Last Post: 08-05-2011, 07:45 PM
  5. Telephone E/M
    By LADY_SETSUNA_CJ in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-14-2010, 01:13 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?

Login

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.