AMA CPT® Assistant - 2009 Issue 11 (November)

Evaluation and Management/Hospital Discharge Services (November 2009)

November 2009 page 10a Evaluation and Management: Hospital Discharge Services, 96101, 96125 (Q&A) Question: For patients being assessed for low back pain, some providers administer and then assess, and may over time follow with tests, such as the Roland-Morris Low Back Pain and Disability Questionnaire, the Oswestry Disability Questionnaire, and similar back or spinal assessment questionnaires. Can these be reported using codes 96101-96125, (Central Nervous System Assessments/Tests [eg, Neuro-Cognitive, Mental Status, Speech Testing])? If not, how should these be reported? Answer: Tests of this type are not separately reported using codes 96101-96125 or other CPT codes; instead, they...

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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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