MnTwins29
True Blue
I know about this "rule" when it comes to determining whether to use 1995 or 1997 guidelines for the examination. But what about when documenation would support time based coding but the three key elements are documented? A record I was auditing was coded as 99213 by the provider and this was correct when using the three key elements. However, the time spent counseling (which was done as well as the Hx, Exam and MDM), total time spent with the patient, and the nature of the counseling was ALSO documented and if this was coded based on time, it would be 99214. So, which should it be? Not which would we WANT - of course, 99214. But did was it an "error" to use 99213? Or, does the "most advantageous to the provider" rule apply?
TY!
TY!