Gastroenterology Coding Alert

Reader Questions:

Choose MDM or Time for E/M Visits — Not Both

Question: If we’re selecting an E/M level of service (99202-99215) based on medical decision making (MDM), do we still have to document the amount of time spent during the encounter? Georgia Subscriber Answer: No, you don’t have to document the time spent, although it may still be a good idea. Here’s why: Under the 2021 E/M guidelines, you can select [...]
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