Untimed appointment busycal12/18/2023 Minutes required for the second 15-minute code. Requires at least an 8-minute session to bill a 15-minute code.įor example, if a session runs 20 minutes, you may bill only one 15-minute code-becauseĪlthough you have surpassed 15 minutes, you have not reached the minimum of eight ![]() The Medicare program has published additional rules related to 15-minute codes. In one-hour, 15-minute, and 30-minute units. ![]() This concept, sometimes called the 51-percent rule, applies to codes that are reported A second hour is attained when a total of 91 minutes have elapsed.” For example,Īn hour is attained when 31 minutes have elapsed (more than midway between zero andĦ0 minutes). Indicates that “A unit of time is attained when the mid-point is passed. The “American Medical Association CPT 2018 Professional Edition” You can report a timed code if you have spent at least half of the code’s specified How do I appropriately report timed codes? Untimed codes have no associated time in their descriptors. “per hour” or “each 15 minutes” are billed multiple times per claim to reflect the Other examples of timed codes include G0515 (Development of cognitive skills to improveĪttention, memory, problem-solving, direct patient contact, each 15 minutes)Īnd 96125 (Standardized cognitive performance testing, per hour of a qualified healthĬare professional’s time, both face-to-face time administering tests to the patientĪnd time interpreting these test results and preparing the report). ![]() Multiple times if the evaluation lasts for more than an hour. Of central auditory function, with report each additional 15 minutes) can be reported For example, CPT 92620 (Evaluation of central auditory function, with report initialĦ0 minutes) is reported for the first hour of the evaluation, and CPT 92621 (Evaluation Timed CPT codes always have a distinct unit of time listed in their descriptors. How can I tell an untimed code from a timed code?
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