Time spent reviewing medical records

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article discusses a coding question about physician time spent reviewing extensive prior medical records for a referred patient. It explains the topic in the context of CPT E/M guidance, RVU valuation, and the broader role of non-face-to-face work in office-based evaluation and management services. The piece is relevant to GI practices, coders, and billing staff who handle new patient referrals and want to understand how review time is addressed in standard coding references.

Why This Topic Matters

Medical record review can be a significant part of new patient work, especially for complex referrals. Understanding how this time is treated in E/M documentation and valuation helps practices avoid incorrect billing assumptions and focus workflow on clinically necessary records.

What You Will Learn

  • How the article frames physician review of prior records within E/M services
  • Why non-face-to-face work matters in the context of physician work valuation
  • How referral workflow may affect the amount of records a physician reviews
  • Why this question is especially relevant to gastrointestinal practices managing complex new patients

Who Should Read This

  • Gastroenterologists
  • Medical coders
  • Billing staff
  • Practice managers
  • E/M documentation teams

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