AAPC - Back to school
Results 1 to 4 of 4

Thread: E&M Time Coding

  1. #1

    Default E&M Time Coding

    AAPC: Back to School
    I have a dictation that I am looking at the codes out to a 99214, but the Dr spent 60 mins with this pt. Can we add the time to get a higher level? The time coding confuses me.

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    The physician must document total time spent with the patient in his note, and there must a counseling or coordination care issue as a reason for the extensive time or it is not upcodable. Does the physician document why the visit was so extensie? does he document total face to face time.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3


    Yes on both.

  4. #4
    Join Date
    Apr 2007
    Brandon, FL


    You can document for time when greater than 50% of the visit was spent counseling the patient. The documentation needs to state the total time of the visit and how much of that time was spent in face-to-face counseling with the patient. For example, if the documentation stated "the total time of the visit was 60 min and 35 minutes was spent counseling the patient", then you can bill the 99215 based on time.

Similar Threads

  1. Remote coding - Full time & Part time
    By anelson30 in forum Employment General Discussion
    Replies: 2
    Last Post: 11-08-2015, 01:18 PM
  2. E & M Time based coding
    By jpayment in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-15-2013, 11:23 AM
  3. Coding E&M based on time
    By Kmplunkett in forum E/M
    Replies: 2
    Last Post: 02-17-2011, 07:31 AM
  4. E&M coding based on time
    By oksanap in forum E/M
    Replies: 4
    Last Post: 07-08-2010, 01:59 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.