decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 6 (June)
CPT on time
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Article Overview
This article explains a core CPT evaluation and management concept: how time is used as a deciding factor when counseling and/or coordination of care takes up most of the encounter. It is relevant to clinicians, coders, and billing staff who document office, outpatient, hospital, or nursing facility encounters and need to understand the documentation expectations associated with time-based selection.
Why This Topic Matters
Understanding time-based E/M guidance helps support accurate documentation and consistent level selection for encounters where counseling or coordination of care is the dominant component.
What You Will Learn
- How CPT uses time as a factor in evaluation and management service selection
- Which encounter settings are referenced in the time-based guidance
- What type of documentation is expected when time is used to support service level selection
- How counseling and coordination of care relate to time-based E/M selection
Who Should Read This
- Medical coders
- Billers
- Physicians
- Nurse practitioners
- Physician assistants
- Clinical documentation staff
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