Team Conference Reimbursement:  To bill Team Conference time, you upcode the initial CPT code (from previously rounding that day) 1 level.  You state in your documentation

“____ minutes spent face to face and in the coordination of care for this patient.”   This is one of the times where time is a factor in coding.  So if you have a level 1 (99231) based on medical necessity and you spend an additional 10 minutes in Staffing, then you technically have a total of 25 minutes face to face and coordination of care with that patient, which qualifies for a level II (99232).

Contributed by Liz Lee

President, PRS, Inc.



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