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The Glutamate/(serine + glycine) Index (you can calculate in practice this with a plasma amino acid panel) Another key study by Gaggini, M

E/M Time Thresholds for Established Patients (2026) CodeTotal Time on Date of Encounter 9921210 to 19 minutes9921320 to 29 minutes9921430 to 39 minutes9921540 to 54 minutes Time-based coding works best when your visits consistently run long but the clinical complexity stays low