AMA CPT® Assistant - 2010 Issue 12 (December)

Medicine: Pulmonary (Q & A) (December 2010)

December 2010 page 15b Medicine: Pulmonary Question: When a physician reports a code from the 94010-94799 series, and also spends time with the patient reviewing other health issues such as a sprained ankle, should the physician also report a modifier for the office visit? Answer: When pulmonary function testing or therapy is provided in addition to a separate Evaluation and Management service, it is appropriate to append modifier 25, Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service to the E/M service. The physician must meet or...

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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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