AMA CPT® Assistant - 2006 Issue 8 (August)

Coding Clarification: Evaluation and Management (August 2006)

August 2006 page 11-end Evaluation and Management: Levels of E/M Services, 99201 The following clarification is provided in response to a previously published question and AMA comment that appeared in the February 2006 CPT Assistant (page 14). Question Of the six components of evaluation and management (E/M) services, which are considered contributory factors? AMA Comment From a CPT coding perspective, history, examination, and medical decision making are considered the key components in selecting a level of E/M services. Counseling, coordination of care, and nature of presenting problem are considered contributory factors in the majority of physician-patient encounters. It is...

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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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