decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 6 (June)
Use time to bill for hospital rounding when child is not on the unit
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Article Overview
This article discusses how hospital rounding can be documented and coded using time when the patient is off the unit for a procedure or test. It is aimed at pediatricians and other clinicians who bill inpatient evaluation and management services, and it covers general documentation expectations, counseling and coordination-of-care time, and how hospital floor or unit time is treated under CPT guidance.
Why This Topic Matters
For clinicians who round in hospitals, the article clarifies when time may support level selection even without a bedside exam and highlights the documentation elements needed to substantiate the encounter.
Article Sections
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Hospital use of time-based coding
Introduces the use of time to select hospital evaluation and management services and discusses when this approach may be relevant during inpatient rounding.
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Post-visit time included
Summarizes how pre- and post-visit work is treated in the hospital setting and contrasts floor or unit time with work performed elsewhere.
What You Will Learn
- How time-based selection applies to inpatient rounding when the patient is not present
- What general documentation elements are used to support time-based hospital visits
- How floor or unit time is treated in the hospital setting
- How counseling and coordination of care relate to hospital E/M time selection
Who Should Read This
- Pediatricians
- Inpatient physicians
- Hospital-based clinicians
- Professional coders
- Medical billing staff
Codes Discussed
Code Ranges Discussed
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