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tci E/M Coding Alert - 2015 Issue 2

Reader Question: Apply 99354 When Over Threshold

Question: Our doctor saw a new 10-year-old patient who was recently diagnosed with diabetes. The doctor spent 90 minutes with the child and his mother discussing the diagnosis, and changes to his lifestyle and diet. Most of the doctor’s time was spent on counseling and coordination of care. Is 99205 the only E/M code that I need to report? Colorado Subscriber Answer: Assuming that your doctor documented the time-based service because she spent more than 50 percent of her face-to-face time on counseling or coordinating the patient’s care, you are correct to code 99205 (Office or other...

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