clegrand
Contributor
I am questioning the necessary documentation to bill TCM visits.
It is stated that the complexity of medical decision making (moderate or high) must be documented in medical record. Does the provider have to specifically state this in the note or is the CPT Code enough? Any input would be greatly appreciated.
Thanks
It is stated that the complexity of medical decision making (moderate or high) must be documented in medical record. Does the provider have to specifically state this in the note or is the CPT Code enough? Any input would be greatly appreciated.
Thanks