Billing & Coding: Time & Level of E & M Part 1

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

How does time factor into choosing the correct billing code for evaluation and management (E&M)?

Time is now a specific parameter to choose the level of E&M and is not just time face-to-face, but represents the total provider time spent on the date of service.

In Part 1 we will cover five of the nine specific examples for eligible E & M time.
1. Preparing to see the patient (e.g., review of tests)
2. Obtaining and/or reviewing separately obtained history
3. Performing a medically appropriate examination and/or evaluation
4. Counseling and educating patient / family / caregiver
5. Ordering tests or procedures

The protocols for choosing the proper E&M service will maintain medical decision-making as a method to choose the code.

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.