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E&M Time Based Coding
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Re: E&M Time Based Coding
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Doo
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Dec 19 12 7:35 PM
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My Recent Posts
You're confusing "counseling" in the E&M codes with "psychotherapy". Read the description of counseling in the front of your CPT book.
Remember that you must always code to the MOST SPECIFIC code. The most specific code for a psychiatric encounter, after 1/1/13, will be an E&M code plus a therapy add-on code, IF there is psychotherapy during the encounter.
The APA has specifically said that you CANNOT use the E&M codes based on time for psychiatric encounters, since there is an add-on code that accounts for time. There is a lot of information here on their site:
http://www.psych.org/practice/managing-a-practice/cpt-changes-2013/current-procedural-terminology-cpt-code-changes-for-2013
From the APA's FAQ:
Q: Can I choose the E/M code on the basis of time spent providing counseling and coordination of care and also bill for psychotherapy using the psychotherapy add-on?
A: No, if you are doing psychotherapy in conjunction with an E/M service, you must choose the E/M code on the basis of the work performed, NOT on the basis of time spent providing counseling and coordination of care.
Sharon
Moderator
Nothing I say shall be construed as legal advice; always check with your own financial or legal advisors for your specific situation.
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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E&M Time Based Coding
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