AMA CPT® Assistant - 1992 Issue 1 (Spring)
Counseling and/or Coordination of Care (Spring 1992)
Spring 1992 page 24-end Coding Tip Counseling and/or Coordination of Care In the CPT 1992 Evaluation and Management (E/M) Services Guidelines, there is an extended discussion of time as it relates to these E/M services. (See pages 4-6 of CPT 1992.) As indicated in that discussion, the specific times expressed in the visit code descriptions are averages, and therefore represent a range of times which may be higher or lower than those specified in the codes, depending on actual clinical circumstances. In the majority of cases, the performance of the key components (i.e., history, examination and medical...
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Article Overview
This CPT Assistant article from Spring 1992 discusses evaluation and management (E/M) coding guidance focused on counseling and coordination of care. It explains the general role of time in visit coding, the importance of documentation, and how these concepts apply when counseling dominates the encounter. The article is aimed at coders, billers, compliance staff, and clinicians who document and code office-based E/M services.
Why This Topic Matters
Understanding how counseling and coordination of care affect E/M code selection helps support accurate documentation and code assignment for visits where time is the controlling factor.
Article Sections
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Coding Tip
Overview of E/M guidance on time, key components, and documentation expectations when counseling or coordination of care is a major part of the visit.
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Illustrative patient encounter
A narrative example showing how a face-to-face office encounter is discussed in relation to counseling, documentation, and service selection.
What You Will Learn
- How counseling and coordination of care relate to E/M service selection
- Why documentation of time and counseling extent matters
- How a visit example is used to illustrate general coding guidance for office-based E/M services
- The role of time when counseling is the dominant part of a face-to-face encounter
Who Should Read This
- Medical coders
- Medical billers
- Compliance professionals
- Physicians and other clinicians
- Practice managers
Codes Discussed
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