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tci E/M Coding Alert - 2020 Issue Q1

You Be the Coder: Take Time to Code This E/M Encounter by the Book

Question: One of our providers wants to report 99203, using time to meet the level requirements for the code. The documentation the provider used stated that “25 or more minutes were spent face-to-face with the patient, and much of the encounter was spent counseling the patient on their current condition.” Is this sufficient documentation for the 99203? Specifically, does the total time have to be at least 30 minutes in this encounter to justify a level-three new patient E/M code? New Mexico Subscriber Answer: To bill an E/M based on time, you should first pick the code...

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