tci Part B Insider - 2008 Issue 37

E/M Coding: Start Using Time to Up E/M With These Tips

Counseling, coordination of care count toward E/M time.You've got a nifty tool to capture higher-level office visit codes when your physician provides mainly counseling to a patient.Overlooking CPT's time rule will land you with lower-level codes for visits involving mainly counseling and little-to-no history, examination, and/or medical decision-making. To start benefiting from using time as the controlling factor, check out these tips.Verify Note Includes 3 ItemsBefore using time as the controlling factor, check off the following requirements. To code based on time in the office setting, the physician must document:1. That more than 50 percent of...

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