tci Part B Insider - 2009 Issue 20

READER QUESTION: Count Minutes on 'Counseling Exception' Claims

Non-physician practitioner claims may merit time-based E/M coding -- check notes to be sure. Question: A new patient with diabetes met with the internist for management of her condition. One of our nonphysician practitioners (NPPs) provided the E/M for the patient, which lasted 37 minutes. Notes indicate that the NPP performed an expanded problem focused history and exam and straightforward medical decision making, and that she spent 22 minutes advising the patient on proper diet, how to check her own blood sugar, and medication management. Is this an instance where I can code based on total encounter time? Answer:...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.