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tci E/M Coding Alert - 2021 Issue Q2

You Be the Coder: Know Payer Rules to Use This Additional Code for Service by Telephone

Question: Our surgeon performed an E/M service over the phone that lasted 55 minutes. Can we bill +99354 in addition to 99443? Minnesota Subscriber Answer: The answer may depend on the payer. You are correct that the appropriate code for the phone evaluation and management (E/M) service is 99443 (Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure...

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