Time Reporting for E/M Levels

Time Reporting for E/M Levels

December 28, 2023

Question:
Is it best practice to bill 99202-99215 based on time only?

Answer:
CPT Codes 99202 to 99215, history and physical examination will no longer be a key factor in determining your level of coding. Instead, coding will be dependent on:

  • Levels of medical decision making applied during the service OR
  • Total time spent on the visit.

Providers can choose which component they would like to use as long as the documentation supports the code applied.

Reporting time is an option when selecting the level of Evaluation and Management service whether or not counseling or coordination of care dominates the service. Time is calculated as the total time spent personally by the provider and/or QHP on the date of the encounter this includes both face-to-face and non-face-to-face time.

 

 CPT Code  Total Time
99202 15-29 mins
99203 30-44 mins
99204 45-59 mins
99205 60-74 mins
99211 0-9 mins
99212 10-19 mins
99213 20-29 mins
99214 30-39 mins
99215 40-54 mins

 

 

*This response is based on the best information available as of 12/28/23.

 

 

PREVIOUS ENT CODING COACHES

 

 

 

Sign up for KZAlertsSign up for KZAlerts

Coding Coaches