Time-based E/M billing is your friend

Why This Topic Matters

Understanding time-based E/M billing helps practices document encounters more appropriately and support the level of service selected when counseling is the main component of the visit. It is especially useful for pediatric settings where follow-up visits and family counseling can affect code selection and documentation review.

Article Sections

1. Time-based E/M billing overview

   Introduces the concept of using time as a factor in evaluation and management billing when counseling or coordination of care is the main part of the visit. Describes the general context in pediatric outpatient care.

2. Documentation and auditor expectations

   Discusses the importance of documenting time and counseling in the medical record and notes differing views on how much detail may be expected. Includes general commentary on supporting documentation practices.

3. Base times for commonly reported E/M codes

   Presents a reference table of commonly used evaluation and management codes along with their base time values. The section is intended as a practical aid for comparing visit time against typical E/M thresholds.