tci Part B Insider - 2016 Issue 8

E/M Coding: Yes, You Can Report E/M Codes When Talking to Family About Patient Care

As long as the patient is present, CMS allows you to bill an E/M code based on time. It happens frequently in Part B practices—a patient presents with her family members, who want to discuss how to care for the patient’s condition. The doctor spends most of his time discussing care with the family rather than the patient, leaving coders to wonder how to report the service—should you bill a counseling code, an E/M code, or some other combination? Fortunately, if you can document time-based services, then you are on the road to reporting family visits...

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