Medicare Compliance & Reimbursement - 2023 Issue 2
Reader Questions: Don’t Count All Time for E/M
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Article Overview
This reader Q&A covers broad CPT guidance for time-based evaluation and management reporting. It is aimed at coders and clinical documentation staff who need to understand what kinds of time are excluded from E/M time calculations in common outpatient and shared-care situations. The article summarizes the scope of the guidance without giving detailed code-selection steps.
Why This Topic Matters
Time-based E/M reporting depends on distinguishing countable from non-countable time. Understanding the categories excluded by CPT guidance helps reduce reporting errors and supports more consistent documentation review.
What You Will Learn
- Which general categories of time are excluded from E/M time calculations
- How CPT guidance addresses time in shared or split visit situations
- What types of encounter-related activities are discussed in the context of time-based E/M reporting
- How the article frames common questions about counting time for E/M services
Who Should Read This
- Medical coders
- Coding auditors
- Physician practices
- Nurse practitioners
- Billing staff
- Clinical documentation specialists
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