Here is the downside of coding E/M all the time did you read all the FAQ on that page? This is the definition of counseling and coordination of care taken from that page. You asked about using a 99214 (I'm assuming that's the code you meant) every time how do you justify that without ever having a psychotherapy session?

Q: What constitutes "counseling and coordination of care"?
A: Counseling, as defined by CPT is a discussion with a patient and/or family concerning one or more of the following areas:
Diagnostic results, impressions, and/or recommended diagnostic studies
Prognosis
Risks and benefits of management (treatment) options
Instructions for management (treatment) and/or follow-up
Importance of compliance with chosen management (treatment) options
Risk factor reduction
Patient and family education

Karen Habel, CDA, CMBSI, CDBSI

Nothing I say shall be construed as legal advice; always check with your own financial or legal advisors for your specific situation.