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Jamie Posted Tue 26th of December, 2017 13:30:03 PM
Just wanted to clarify for Evaluation and Management 99201-99215 face to face time descriptions under each code, for example..99214 "Typically 25 minutes are spent face-to-face w/patient..." is this the average visit time or counseling time? As I am trying to code an E/M based on time as provider has spent 35 minutes counseling a pt out of 30 min visit. Thank you
SuperCoder Answered Wed 27th of December, 2017 01:37:51 AM

Hi,

For 99214, 25 minutes is the total time including counselling time. For reporting 99214 physician should spend more than 50 percent of time on counselling the patient face to face that is 13 minutes. In the scenario you mentioned where 35 minutes of time is spent for counselling in a 30 minute visit. This seems incorrect. The total time of visit should include the time of counselling as well.

https://www.aafp.org/fpm/2003/0600/fpm20030600p27-rt1.pdf

Please let us know if you have any further questions.

Thanks!

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