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February 5, 2023

Time: using time for office visits

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  • 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 2021 E/M guidelines 

This post about using time for office visits includes:

  • New and established patient office visits
  • A brief video summary with downloadable slides
  • Time rules for office services
  • Separately reported – what it means
  • Independent interpretation of test results
  • Time thresholds for 99202-9215

New and established patient office visits

Time may be used to select the level of service for 99202—99215 whether or not counseling or coordination of care dominates the service. Using time to select office visits (the level of service) when billing for codes 99202—99215 requires a face-to-face service by the physician, advanced practice registered nurse (APRN), or physician assistant (PA).

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Relevant Search Terms: E/M changes 2021, CPT and CMS amend rules

CPT is a registered trademark of the American Medical Association Copyright 2021, American Medical Association All rights reserved.

Last revised December 15, 2022 - Betsy Nicoletti
Tags: level of service_Exam

CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

2023 E/M reference sheets

These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. And, a bonus sheet with typical time for those code sets. Sign up for Betsy’s monthly newsletter to download these reference sheets and share them with your practitioners.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

Watch it now

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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