tci E/M Coding Alert - 2017 Issue 7

Reader Question: Use Time as Dominant Factor

Question: My physician saw a patient for arthritis. Although the patient has been to our practice before, he had never visited for this particular problem. After talking with him for about half an hour, the physician discussed several nonsurgical ways he could improve his condition (changes in diet, lifestyle, exercise, etc.) before pursuing a more serious treatment. How should we bill for this visit? South Carolina Subscriber Answer: When counseling and/or coordination of care dominates (more than 50 percent) of the physician’s time with the patient and/or family, you can base the level of the evaluation and...

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