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General Surgery Coding Alert

Reader Questions:

Time is On Your Side

Published on Wed Aug 18, 2021

Question: I have a procedure note indicating that the provider performed an outpatient evaluation and management (E/M) service for an established patient. The physician documented a total encounter time of 46 minutes, and also documented performing moderate medical decision making (MDM). How should I code this? Georgia Subscriber Answer: You should report 99215 (Office or other outpatient visit for the [...]
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