Time based coding is definitely an option when counseling is provided> 50% of the time, I'm just wondering if it can be used ALL the time.

(Here' s my source on the time coding issue -- but I'm wanting to know if it can be used all the time): From The Medicare Primer posted on the NYSPA website:
PROPER DOCUMENTATION WHEN CODING AN E/M SERVICE BASED UPON COUNSELING AND/OR COORDINATION OF CARE
The key to using E/M codes by a psychiatrist is proper documentation. When a psychiatrist selects an E/M code based upon counseling and/or coordination of care, the session note must include the following:
• a statement of the total time spent during the visit, e.g., “Total time: 25 minutes” (face-to-face with patient for office, outpatient and floor time & patient time for hospital)
• a statement that “More than 50% of the visit included counseling and/or coordination of care.”
• documentation of the specific nature of the counseling and/or coordination of care
• documentation of medical/medication management both in office and in hospital.