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documenting time

  1. #1
    Default documenting time
    Medical Coding Books
    Can somebody tell me whether I can up code an E/M visit if such has documentation for time counseling?.

    Thank you,
    maria

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
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    certainly you can code and E/M by "time" - as long as the requirements are met for doing so
    Donna, CPC, CPC-H

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
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    To code based on time, documentation must state the total time spent with the patient, that greater than 50% or more of the time was spent counseling/coordinating care, and describe the counseling/coordination of care.

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