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Time-Based Documentation Billing 99212 by time requires three things in the note: Total time spent on the date of the encounter (must fall between 10 and 19 minutes) A description of the activities that consumed the time, such as chart review, examination, counseling, documentation, or care coordination Enough clinical detail to establish medical necessity for the visit Simply writing "spent 15 minutes with patient" without supporting clinical detail isn't enough

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Step 4: Remove the syringe