AMA CPT® Assistant - 2019 Issue 12 (December)
Bonus Edition: Frequently Asked Questions (December 2019)
December 2019 page 14 Bonus Edition: Frequently Asked Questions Evaluation and Management/Medical Team Conferences Question: Can a provider report code 99367 for team-conference work when the patient/family isnotpresent on the same day that code 99291 is reported by the same provider for critical management of the patient? Answer: Yes, it would be appropriate to separately report code 99367, Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physician and, code 99291, Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes...
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Article Overview
This premium FAQ article from CPT® Assistant addresses a set of coding questions from December 2019 across multiple specialties, including evaluation and management, surgery, radiology, psychiatry, and neuropsychological testing. It is aimed at coders, billing staff, and clinicians who need to understand how the guidance relates to reporting of professional services, procedure scope, timing, and related documentation considerations. The article presents practical coding clarification topics without replacing the underlying CPT guidance or payer policy review.
Why This Topic Matters
It helps readers identify when a service falls within the reported procedure, how to think about time and episode-based reporting, and how the guidance applies across different clinical settings and specialties.
Article Sections
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December 2019 page 14
Introductory page reference for the FAQ content and issue placement.
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Evaluation and Management/Medical Team Conferences
Questions and answers about team-conference reporting in relation to critical care services and same-date timing considerations.
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Surgery/Integumentary System
Discussion of a complex wound closure scenario and the related surgical reporting topic.
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Surgery/Musculoskeletal System
Question involving carpectomy reporting and use of a modifier in a partial bone-removal scenario.
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Surgery/Digestive System
Guidance on endoscopic mucosal resection reporting and related services performed in the same lesion area.
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Surgery / Eye and Ocular Adnexa
Question about orbitotomy with decompression-related work and what is included in the reported procedure.
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Surgery/Auditory System
Brief FAQ covering excision of a lesion in the external ear canal and the associated surgical category.
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Radiology / Diagnostic Radiology (Diagnostic Imaging)
Discussion of abbreviated breast MRI reporting, including screening context and protocol-related considerations.
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Medicine/Psychiatry
Question about psychiatric diagnostic evaluation and whether medication management is included in the service.
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Medicine/Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing)
Guidance on cumulative time reporting across an evaluation episode and the handling of feedback-related testing services.
What You Will Learn
- How the article frames multiple CPT coding questions across several specialties.
- How the FAQ addresses time-based reporting and same-date service relationships.
- How procedure scope and included services are discussed in surgical coding scenarios.
- How radiology and psychiatric testing topics are treated in the context of CPT guidance.
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Physicians
- Clinical documentation specialists
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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