tci E/M Coding Alert - 2024 Issue Q1

Reader Questions: Don’t Mistake These Procedures for E/M Services

Question: I noticed that the physicians at the practice I just started working at tend to bill office visits based on time. They perform in-office procedures, such as nasal endoscopy, sinus debridement, and laryngoscopy, and include the time spent on these services in the evaluation and management (E/M) total time count. I don’t think this is correct. Please advise. Missouri Subscriber Answer: The procedures you mentioned are billable services represented by other CPT® codes — these activities are reported separately and may not contribute to the total time count for a billed E/M service. In other words, you...

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