Billing for Face-to-Face Counseling

by  ChiroCode
July 21st, 2017

Question: How should I bill for face-to-face Counseling time spent with the patient?

Answer: A provider may only use time in choosing the procedure code when spending more than 50% of the total face-to-face time of the visit in counseling / coordination of care. Documentation of the total time of the visit, the time spent in counseling/coordination of care, and the nature of the counseling/coordination of care must be in the medical record.

Counseling is a discussion with a patient and/or family concerning one or more of the following areas:

ChiroCode has a sample form to use for E/M Counseling. See the DeskBook Resources page. Remember when billing for counseling on the same day as the CMT-98940-98942 services you must add modifier 25 to the E/M code and attach the Counseling documentation that shows your face-to-face time and the components discussed.

Billing for Face-to-Face Counseling. (2017, July 21). Find-A-Code Articles. Retrieved from

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