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Question: When our providers perform online digital E/M services (99421-99423) services, what activities count toward cumulative service time?

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Answer: According to CPT^庐, the physician鈥檚 cumulative service time includes:

• Reviewing the patient鈥檚 initial inquiry, which is when the seven-day period begins.
• Reviewing patient records or data relevant to assessing their problem.
• Personal physician or other qualified healthcare professional (QHP) interaction with the clinical staff that focuses on the patient鈥檚 problem.
• Developing management plans, which include writing prescriptions and ordering tests.

Any subsequent communication with the patient through online, telephone, email, or other digitally supported communication does not otherwise represent a separately reported E/M service.

Important: 鈥淎ll professional decision making, assessment, and subsequent management by physicians or other QHPs in the same group practice contribute to the cumulative service time of the patient鈥檚 online digital E/M service,鈥� per CPT^庐.