Time-based billing of evaluation and management (E/M) codes has been a beneficial but underused option for physicians when billing for E/M services that are predominantly spent in counseling and/or coordination of care. Under current coding instructions, physicians and other qualified health care professionals (QHPs) could report any E/M service that is assigned a typical time based on time when more than 50% of the face-to-face service time was spent in counseling and/or coordination of care. This requires documentation of the approximate total time spent face-to-face with the patient and a statement indicating that more than 50% of that time was spent in counseling and/or coordination of care. Additionally, the documentation must give an overview of the counseling provided and/or coordination of care (eg, call to arrange health care services while present with the patient and/or caregiver).

The Table lists the affected codes and the typical time and relative value units...

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