AMA CPT® Assistant - 1997 Issue 1 (January)

Evaluation and Management, 99213, 84153 (Q&A) (January 1997)

January 1997 page 10 Coding Consultation Evaluation and Management, 99213, 84153 (Q&A) Question A 65-year-old male who never goes to the doctor, comes in with bronchitis/cold/flu symptoms. Doctor works him up for bronchitis, and meets the key components for E/M code 99213. The doctor feels it is important to do a PSA, but patient refuses the other components of a preventive visit. How do you code this? Do you use just the E/M Office/Outpatient visit plus code the PSA, or do you code E/M Office/Outpatient visit, preventive medicine, and/or PSA test with a modifier? AMA Comment The Preventive...

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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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