AMA CPT® Assistant - 2013 Issue 8 (August)

Evaluation and Management: Special E/M Services (Q&A) (August 2013)

August 2013 page 13d Evaluation and Management: Special E/M Services Question: What is the proper way to report evaluation services related to a worker's compensation injury for new and established patients? Answer: Code 99455, Work related or medical disability examination by the treating physician, and code 99456, Work related or medical disability examination by other than the treating physician, are used to report evaluations performed to establish baseline information prior to the issuance of life or disability insurance certificates. This service is performed in the office or other setting, and applies to both new and established patients. When using...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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