AAPC - Back to school
Results 1 to 6 of 6

Thread: coding time spent

  1. #1

    Default coding time spent

    AAPC: Back to School
    I have 2 scenerios: 1. I have an orthopedic who codes 99214, 99215, 99204-05 and there documentatio is not there for those high codes, so now he is using "time spent with patient" on everyone of his pt's docs. to get the higher level, the things is documentation does support it. Even so I know that what it is. Any suggestions.

    2. Then I have a doc. that will document the time but the documentation isn't there to support the time and I have quaried and educated him but he still won't give the documentation for the high number of minutes spent (ie 60 minutes on most of them)

    any suggestions.

  2. #2
    Join Date
    Apr 2007
    York, Pa


    The first thing I would do is pull out ( and show) these providers your reference materials showing how to document time correctly in order to qualify for the level of service they are billing for.

    If their documentation is not supporting the level they are choosing, you have no choice but to down-code the services based on guidelines.

    Good luck
    Roxanne Thames CPC, CPC-I, CEMC

    "Remember the greatest gift is not found in the store but in the heart of true friends"

  3. #3


    Thank you !

  4. #4
    Join Date
    Apr 2007
    Charleston, South Carolina


    Also, lets be realistic. If doctor is saying he spent 60 minutes with each patient, does he only see eight patients a day? If he is seeing 20-25 patients a day, he is not spending an hour with each of them! Same for the other doctor that is documenting time. I bet if you added up his "times" for an entire day, his time would be way more than eight hours also.
    Machelle Morningstar, CPC, COC, CEMC, COSC
    AHIMA Approved ICD-10-CM/PCS Trainer

  5. #5


    I agree Machele, it is frustrating.

    thanks for the input gals.

  6. #6


    I actually know of a situation where an unhappy employee reported a previous employer for incorrectly reporting based on time. The documentation was there stating he spent the time but it was obvious based on the schedue that he could not have because he would have been there along with staff untill 10pm or later. The carrier actually requested copies of schedules and check in and check out records from their computer system, they had to pay back a whole lot of money. Also, the dr cant just dicate total time spent, he has to dictate that more than 50% of the office visit was spent on counseling and coordination of care.

Similar Threads

  1. Coding based on "time spent"
    By sadieandbrian in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 11-26-2014, 06:55 PM
  2. Replies: 1
    Last Post: 01-26-2013, 11:40 AM
  3. Discharge....Time Spent
    By MandyFlagg in forum E/M
    Replies: 1
    Last Post: 05-02-2012, 07:34 AM
  4. Discharge....Time spent?
    By MandyFlagg in forum EMR/EHR Systems
    Replies: 1
    Last Post: 05-01-2012, 09:04 AM
  5. coding time spent
    By samyjm13 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 02-24-2012, 02:19 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.