Follow CPT, CMS advice on time-based coding; round up when appropriate

Why This Topic Matters

Accurate time-based E/M coding affects claim payment, denial risk, and audit support. Understanding the difference between CPT and Medicare handling of visit time can help practices apply the right policy for the payer and document encounters more consistently.

Article Sections

1. E/M coding

   Introduces the article’s focus on time-based evaluation and management coding and the distinction between private-payer and Medicare approaches. It frames the broader issue of selecting codes based on time and counseling.

2. Avoid time-based confusion with private payers

   Covers documentation habits and operational practices that can help support time-based coding for non-Medicare claims. It also discusses recordkeeping, counseling detail, and policy consistency in mixed-payer environments.