tci E/M Coding Alert - 2023 Issue Q3

Reader Questions: Count Time Beyond Encounter for E/M

Question: One of our providers wants to bill an evaluation and management (E/M) visit using time, but they want to count the time spent with the patient, as well as the time spent preparing to see the patient. Isn’t time only calculated using face-to-face time? Idaho Subscriber Answer: No. Leveling E/M counting only as face-to-face time is old-school. Prior to CPT®2021 E/M office and outpatient updates, you counted only face-to-face time, but no longer. CPT®defines time for E/M coding as the total time (based on minutes) the provider spends on the date of service during which...

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