tci E/M Coding Alert - 2016 Issue 8

Time-Based Coding: Use Counseling Exception Where Allowed to Prevent Underpayments

When time dominates the E/M encounter, the exception might apply. If you’re not up to speed on the counseling exception rules, you could be undercoding for your provider’s service on some E/M codes. However, you may only use the exception in certain specific cases. Help’s here:We posted a few counseling exception questions to a pair of top-notch E/M coders. Here’s what they had to say about how to use, and when to avoid using, the counseling exception when choosing E/M codes. Q: What is the counseling exception, and what does it means for coders? A:&ldquo...

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