First ...all the codes you mention are billed ONCE PER MONTH, and can only be billed by the physician who has the predominant supervisory role with the particular patient. It's best if the physician has a spreadsheet on which s/he keeps track of the time involved throughout the calendar month, and then bill at the end of the month, totalling the times to arrive at the correct code (15-29 minutes vs 30 minutes or more)
Next, ask yourself if the patient under the care of a Home Health Agency, Hospice or Nursing Facility?
If yes, the 99374-80 might apply IF the patient requires "recurrent supervision of therapy." (Direct quote from CPT). So if this is a one-time paperwork situation, then this would not apply.
If the answer to the question is NO (no home health agency, etc)... then look at codes 99339-40. Bear in mind that the instructions for these codes are the same as for 99374-80 ... once per month, primary supervisory role, etc. So, again, you'd want a spreadsheet (or some type of log) to keep track of time throughout the month, and you would bill just once per month.
Hope this helps.
F Tessa Bartels, CPC, CPC-E/M
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