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August 20, 2025

Time: Using Time for Office Visits

Using time to select a level of service for office visit codes 99202—99215 Total practitioner time on the date of service  can be used to select one of these codes. Counseling and/or coordination of care no longer needs to dominate the service. See also When to use time to select an office visit code using the […]

Describe the Exam | E/M Services for Dermatology

ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong….) However we will still need to use them when auditing notes from before 2023.  This article does not apply to services performed after 1-1-2023. What do you need to document for the exam? Although exam is not a key component in 2021 for codes […]

Exam | Documentation Guidelines for E/M Services

ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong….) However, we will still need to use them when auditing notes from before 2023. This article does not apply to services performed after 1-1-2023. Definition Exam is one of the three key components (history, exam and medical decision making) of Evaluation and Management Services. […]

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