Do not report encounters with multiple patients based on time spent counseling or coordinating care. The same period cannot be reported for more than one service, whether to one patient or multiple patients. An exception is when the code descriptor specifies a service is provided to more than one patient, as in education and training for patient self-management to 2 to 4 or 5 to 8 patients (98961–98962). Group or shared medical visits, such as visits involving siblings, should be reported based only on the services provided to each individual patient. The question indicates that code 99213 was supported by the key components of history, examination, and medical decision-making. Therefore, this code may be assigned for services to each individual patient. If the service consisted only of counseling or coordination of care to 2 or more patients by a physician or other qualified health care professional, code 99078...

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