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October 24, 2025

Using Time to Select a Level of E/M Service

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. Remember, don’t use the information in this article for current services. Use these rules when billing for codes that use […]

Definitive Guide to Documenting Time

Office visits, inpatient care, prolonged services, critical care…properly documenting time can help ensure that you receive the maximum allowable payment for the time you spent with the patient. Use this handy reference guide to make sure your documentation includes all the necessary components.

Non Face-to-Face Prolonged Service – 99358

This article covers: CPT® Rules for Prolonged Care Non Face to Face Using 99358 for phone calls Are Start and Stop Times Required for Non Face-to-Face Prolonged Care Services? There are two time-based CPT codes for non-face-to-face prolonged care services. These codes may not be used on the day of an Evaluation and Management (E/M) […]

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