tci E/M Coding Alert - 2023 Issue Q3

Reader Questions: Define Cumulative Service Time

Question: When our providers perform online digital E/M services (99421-99423) services, what activities count toward cumulative service time? New Mexico Subscriber Answer: According to CPT® the physician’s cumulative service time includes: Reviewing the patient’s initial inquiry, which is when the seven-day period begins. Reviewing patient records or data relevant to assessing their problem. Personal physician or other qualified healthcare professional (QHP) interaction with the clinical staff that focuses on the patient’s problem. Developing management plans, which include writing prescriptions and ordering tests. Any subsequent communication with the patient through online, telephone, email, or other digitally supported...

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