tci E/M Coding Alert - 2019 Issue Q3

Check These 4 Examples of Appropriate Time-Based Coding Notes

If you’re just getting your feet wet with time-based E/M coding, check out these examples of documentation done right from the field of gastroenterology. We’ve included not only the medical record entry, but also the code that’s justified by the documentation. Tom Smith returned to my office today to discuss his malignant colon lesion, which I excised for biopsy during his July 10 colonoscopy. We spent an hour together, about 15 minutes of which were in a brief interim history and exam, and 45 minutes of which were spent discussing test results and treatment options with...

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