tci Part B Insider - 2014 Issue 42

Reader Question: Accurately Calculate Time Spent

Question: If a doctor bills a 99204 based on time (45 minute visit with more than 50 percent spent in counseling/coordination of care) and also performs a flexible laryngoscopy during the encounter, does he have to subtract the time he spent performing the scope from the time he spent in counseling/coordination of care? Answer: Yes, you’ll need to list two times for the encounter associated with 99204 (Office or other outpatient visit for the evaluation and management of a new patient …): the total time for the E/M (not counting the scope time) and the time spent...

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