tci E/M Coding Alert - 2024 Issue Q3

Reader Questions: Count Provider Minutes When Performing Phone Visits

Question: A provider had a telephone visit with a patient to refill prescriptions for the patient’s chronic conditions and help fill out disability forms, too. The provider documented the time spent with the patient as 83 minutes discussing the patient’s conditions and medication adjustments and 30 minutes helping the patient with the paperwork. Can the provider bill for time spent with the patient? Washington Subscriber Answer: Unfortunately, the maximum time you can bill for a telephone evaluation and management (E/M) visit is 30 minutes. Therefore, you’ll assign 99443 (Telephone evaluation and management service by a physician...

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