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E/M without a face to face with patient

  1. Default
    Medical Coding Books
    Although CPT does not specifically state the patient has to be present, it does consider the examination to be a key element of the E&M. Without a face to face with the patient, there can't be an examination.

  2. Default
    That information is located in the information when time is considered as part of determining the level of E&M code. You still have to have an examination to have an E&M visit.

  3. #23
    Location
    Milwaukee WI
    Posts
    4,466
    Default Counselling/coordination of care
    When billing based on time for counseling/coordination of care, you do NOT need to meet the levels of history, exam or MDM to choose a level of E/M.
    No exam is required. The entire visit can be counseling/coordination of care, and if properly documented and E/M service can be reported.

    Cindy Norling is correct
    F Tessa Bartels, CPC, CPC-E/M

  4. Default
    I believe it's a Medicare requirement for the "face to face" encounter with the patient. Some other carriers might pay the claim according to CPT requirements. It would be best to check with the carrier.

    ~L
    CPC, CGSC, COSC

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