tci Part B Insider - 2004 Issue 39

Part B Coding Coach: Turn your Physician's Time Into Money With This Coding Catch

Proper documentation of time spent on counseling can increase your level of service You may be settling for less money than you deserve if you don't code by time for your physician's counseling services.Little-known fact: You can code an E/M service based on time when the physician spends more than 50 percent of his face-to-face time with the patient providing counseling and/or coordinating care. CPT states if counseling and/or coordination of care constitutes more than 50 percent of the physician/patient encounter, you may use time as "the key controlling factor to qualify for a particular level of E/M...

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