tci E/M Coding Alert - 2018 Issue 4

Reader Question: Bill This Counseling Visit Even When Patient Is Absent

Question: We have a mom that came in for a consult about her 5-year-old son, but he was not present. Can I bill an evaluation and management (E/M) visit based on time under the 5-year-old's insurance even though he was not present? Or can we bill anything at all for this visit if we code Z71.0? Montana Subscriber Answer: CPT® states that "face-to-face time" is "only that time spent face-to-face with the patient and/or family." The "and/or" part of that means the patient does not have to be present from a CPT® perspective, so you can...

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