Resolved E/M code 99214

[LisaH_40390]

When using 99214 for established patient and having at least 2 components doesn't the time spent with the patient need need to be 30 mins or more when you are doing telepsych. medication med checks and does the patient need medication change to use this code versus using 99213.

 

[Alicia]

Are you going to base the E/M on MDM or Time?

 

[JameseC_42839]

Are you going to base the E/M on MDM or Time?

Is it time Ms. Alicia?

 

[Darcy]

You need to choose either coding by time (required documentation) or MDM, not both

 

[JameseC_42839]

Okay so not both...could there ever be possibility where the provide provides both?

 

[Darcy]

If the doctor documents the total time spent, you can code by time. If not, code by MDM

 

[JameseC_42839]

If the doctor documents the total time spent, you can code by time. If not, code by MDM

Thanks for the clarification Ms. Darcy

 

[LisaH_40390]

Thanks for the clarification Ms. Darcy

Hi Darcy,
Thank you clarifying this Just had a physician ask me this today. They wanted to bill by time not MDM so this is great i can tell them they are allow to do this for outpatient.

 

[Alicia]

Not that billing by time will often mean less reimbursement but not always. I would encourage your providers to use MDM as much as possible. However with specialty providers time is easy to do.

 

[LisaH_40390]

Hi Darcy,
Thank you clarifying this Just had a physician ask me this today. They wanted to bill by time not MDM so this is great i can tell them they are allow to do this for outpatient.

Hi Darcy,
Thank you clarifying this Just had a physician ask me this today. They wanted to bill by time not MDM so this is great i can tell them they are allow to do this for outpatient.

Not that billing by time will often mean less reimbursement but not always. I would encourage your providers to use MDM as much as possible. However with specialty providers time is easy to do.

Ok thats great advice its outpatient psychiatry so most of it is medication management.

 

[Lori]

Here is the link to CCO's FREE E/M tools:

E&M Audit Tool for Medical Coding

Our Free E&M Audit Tools will help you code in various settings such as office, hospital, facility or home. Download it today!

www.cco.us

We also just released a CEU training Mini-Course for EM 2021 here for current CCO Club members only https://www.cco.community/resources/2021-e-m-mini-course.617/

We have an E/M thread here & we have the AMA resource there.
https://www.cco.community/threads/2021-e-m-updates.5094/#post-10594

All student and Club members have a 2021 EM content consolidated here:
https://www.cco.community/threads/e-m-2021-changes.4725/#post-10305

 

[LisaH_40390]

Here is the link to CCO's FREE E/M tools:

E&M Audit Tool for Medical Coding

Our Free E&M Audit Tools will help you code in various settings such as office, hospital, facility or home. Download it today!

www.cco.us

We also just released a CEU training Mini-Course for EM 2021 here for current CCO Club members only https://www.cco.community/resources/2021-e-m-mini-course.617/

We have an E/M thread here & we have the AMA resource there.
https://www.cco.community/threads/2021-e-m-updates.5094/#post-10594

All student and Club members have a 2021 EM content consolidated here:
https://www.cco.community/threads/e-m-2021-changes.4725/#post-10305

Awesome thank you!