Medicare Compliance & Reimbursement - 2013 Issue 7
Reader Question: Count the Minutes for Family Counseling Session Coding
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Article Overview
This reader Q&A addresses coding considerations for a physician counseling session with family members about a minor’s proposed treatment. It focuses on how time-based evaluation and management selection is discussed in the context of office or other outpatient encounters, and it is relevant to oncology coders, office staff, and anyone responsible for evaluating documentation of counseling time.
Why This Topic Matters
Family counseling encounters can create uncertainty about whether time, counseling, or other documentation elements should drive evaluation and management reporting. This article helps readers understand the general topic of time-based E/M selection for outpatient encounters involving family discussion and documentation of physician time.
What You Will Learn
- How family counseling encounters may be considered in outpatient evaluation and management coding
- Why documented physician time can matter when counseling dominates an encounter
- What general documentation elements are discussed for time-based E/M selection
- How the topic applies to physician discussions with parents or family members about treatment planning
Who Should Read This
- Medical coders
- Billing staff
- Oncology practice staff
- Physicians
- Compliance staff
Codes Discussed
Code Ranges Discussed
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