Time can only be used to determine level selection if >50% is spent in counseling and/or coordination of care(and documented as such). I would doubt all of his encounters would fit into this category. I advise the physicians that I talk to to use time for level determination discriminatively. I believe that in an audit the use of time exclusively would be a red flag. Some specialties would be more likely to be able to use time, such as psychiatry, maternal-fetal medicine etc. perhaps.
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