tci E/M Coding Alert - 2023 Issue Q4

Reader Questions: Document Minutes Across Days

Question: Our surgeon provides some presurgical consultations digitally sometimes and wants to use the appropriate E/M codes, but we’re having difficulty documenting the time over multiple days. How can we document and bill these codes? Massachusetts Subscriber Answer: The online digital E/M codes for physicians are the following: 99421 (Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes) 99422 (… 11-20 minutes) 99423 (… 21 or more minutes) As you describe, keeping track of this service so that you can bill it is difficult...

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