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E&M Time Based Coding
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Re: E&M Time Based Coding
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frank
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Dec 19 12 9:21 PM
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My Recent Posts
Sorry if I haven't been clear. Think about a prescriber that today codes with lots of 90862s. The prescriber chooses to continue to NOT do psychotherapy (as 90862s don't have any therapy attached to them as say 90805s) but rather, will rely solely on E&Ms for medication management now that 90862s are gone. All of the APA Coding FAQs and documents explain that time-based coding MAY be used with an E&M code in lieu of complexity coding but ONLY if Greater than 50% of that time is spent COUNSELING about things like diagnostic results, impressions, Prognosis, Risks and benefits of treatment, Instructions for med/symptom management and/or follow-up, Importance of med compliance, Risk factor reduction (smoking cessation, alcohol cessation), Patient and family psychoeducation.
So my question is. It seems like coding by time is less complex than standard E&M coding. If our psychiatrists tend to spend a lot of time COUNSELING about the above sort of things (NOT PSYCHOTHERAPY), what is the downside to coding by time?
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Medical Billing & Coding Education from the MAB
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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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