The physician and his physician assistant (PA) each spent time seeing an established patient for an E/M office visit. The physician spent a total of 25 minutes and the PA spent a total of 18 minutes on the day of service. The respective time for the physician and the PA includes 8 minutes spent meeting jointly with the patient. How is time spent with the established patient calculated to select the level of code to report using total time? ...
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Article Overview
This article addresses time-based evaluation and management reporting for an established patient office visit involving both a physician and a physician assistant on the same day. It explains the general treatment of shared time when total time is used to determine the level of service, and it is intended for coding professionals, billers, and clinicians who work with office E/M reporting.
Why This Topic Matters
Accurate time accumulation can affect level selection for time-based office visits and helps avoid double counting shared patient time.
What You Will Learn
- How total time is considered for an established patient office visit
- How shared time between two clinicians on the same date is handled in broad terms
- Why accurate time tallying matters for office E/M reporting
- What issues to review when assigning a level based on total time
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Physician assistants
- Revenue cycle teams
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