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Thread: Time based E/M coding

  1. #1

    Default Time based E/M coding

    AAPC: Back to School
    I need a clearification on the Time based E/M coding.

    Scenerio: Physician spends 20 minutes face to face with a New patient, 10 minutes is the HPI, EXAM, MDM components--then spends an additional 10 minutes counseling the patient. Documentation supports the time.
    This would allow the OV to be coded by the Time and would be a 99202.

    Would this be correct?

  2. #2
    Join Date
    Apr 2007


    Technically no, it has to be greater than 50% of the time in counseling and coordination of care in order to bill based on time.

    Laura, CPC, CPMA, CEMC

  3. #3


    Agree - it would have to technically be 11 minutes but do the elements support a level 2 or possibly higher without the time factor?

    Christie Musser, CPC

  4. #4


    The components do not meet the level 2 or higher without the time. Our providers do time consuming counseling to patients with positive pregnancy tests, then refer them to a OB provider. We are a Health Department that does not provide OB care, we just do the testing and then provide education and counseling.

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