University HealthCare Alliance
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August 12, 2020

Coding Corner | Coding for Time Based Services

Evaluation and Management (E/M) Outpatient Visit

When counseling and/or coordination of care dominates (more than 50%) the encounter with the patient and/or family, that time can be considered the controlling factor to qualify for a particular level of E/M services. To use time as the reporting factor for a level of E/M service. The documentation should support the medical necessity of treatment and diagnosis. The following must also be documented:

  • The total time of the encounter
  • The counseling and/or coordination of care time
  • The description of the counseling and/or coordination of care
  • May be used when services are provided via telehealth

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