Billing RulesUpdated Jan 4, 2026

Mastering Time-Based Billing in 2026

From "Stopwatch Medicine" to "Flexible Precision."

1. The 10-Minute Standard

Full 20 Minutes Req.

10-19 Minutes Capture

You must have at least one live, synchronous interaction (phone/video) with the patient to bill 99470 or 99457. Voicemail and SMS do not qualify.

Metric	CCM (Time)	APCM (Risk)
Trigger	20 Minutes	Risk Profile
Revenue	Stackable	Flat Monthly

CPT Copilot (Coming Soon) automatically flags claims that meet the time threshold but miss the "interactive communication" requirement.