CPT® does not establish a preference between using medical decision making (MDM) or time when selecting an E/M code. In practice, it is generally more efficient to start with MDM elements. Use time to bill when the total time spent on an encounter supports a higher level of service than MDM alone.
Learn more
- Toolkit: Simplified Outpatient Documentation and Coding
- Webinar: E/M Documentation and Coding: Update for Ambulatory Visits
- Podcast: Simplified Outpatient E/M Coding and Documentation
