Palmetto GBA
^ Back to Top
Close Window [x]
  • J11 HHH
  • J11 Part A
  • J11 Part B
  • NSC
  • Railroad Beneficiaries
  • Railroad Providers
 
+
Railroad


Auxilary Aids & Services

For information about the availability of beneficiary auxiliary aids and services, please call our Beneficiary Contact Center at 800-833-4455.

MLN
Bookmark E-mail Print Digg It! Tweet FB Like Show/Hide Google+ line
Standard Font Serif Font Decrease Font Size Increase Font Size

Railroad Medicare
Can time alone be used to select an E/M code?

Answer:
In certain circumstances, time can be used as the key or controlling factor for selecting an evaluation and management (E/M) code. When counseling and/or coordination of care dominates (e.g., more than 50 percent) the physician/patient encounter (e.g., face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility), the time may be considered the key or controlling factor to qualify for a particular level of E/M service. The extent of the counseling and/or coordination of care must be documented in the medical record.

Information on E/M guidelines concerning documentation guidelines is available on the CMS Medicare Learning Network website.


 

last updated on 12/03/2014
ver 1.0.51