AMA CPT® Assistant - 2022 Issue 12 (December)
Bonus Questions and Answers (December 2022)
December 2022 page 19 Bonus Questions and Answers Evaluation and Management (E/M): Office or Other Outpatient Services Question: A 50-year-old established male patient presents for his annual skin examination pursuant to a history of squamous cell carcinoma (SCC) on the right forehead treated 5 years ago. The patient has no concerns today apart from a few scattered brown spots on the trunk that end up being benign nevi and seborrheic keratoses. A complete skin examination is performed, and diagnoses for the visit include benign nevi on the trunk, seborrheic keratoses, and his history of SCC. Sun protection, including the...
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Article Overview
This article presents a December 2022 bonus question-and-answer roundup from CPT Assistant focused on coding issues across multiple sections of CPT 2023. It is useful for coders, billers, auditors, and clinical documentation staff who need to understand the scope of discussion around E/M, surgery, radiology, medicine, and Category III code topics without relying on full text details.
Why This Topic Matters
The piece highlights how CPT Assistant addresses common documentation and reporting questions across several specialties and service categories. Readers can use it to gauge whether the full article is relevant to their workflow, training, or compliance review.
Article Sections
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Evaluation and Management (E/M): Office or Other Outpatient Services
Questions and answers addressing office/outpatient E/M coding for an established patient encounter. The section also discusses how documentation elements and time-based selection are considered in the context of the CPT code set.
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E/M: Prolonged Services
Guidance about prolonged E/M services in relation to CPT 2023. The section covers reporting considerations for services performed on a date other than the face-to-face encounter.
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Surgery: Digestive System
A coding discussion within the Digestive System subsection of CPT 2023. The section addresses new procedure codes and whether a modifier is applicable in a specific procedural scenario.
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Surgery: Urinary System
A question-and-answer item involving urinary system surgery coding. The section focuses on bilateral reporting considerations for a nephrostomy catheter exchange procedure.
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Surgery: Female Genital System
Coding guidance for a robotic hysterectomy-related procedure in the female genital system subsection. The section also mentions use of an unlisted code when documentation does not align with a specific descriptor.
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Surgery: Nervous System
A brief discussion of nervous system procedure reporting for a newer nerve block approach. The section includes reference to unlisted procedure coding when no specific CPT code is available.
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Surgery: Auditory System
A question about reporting a complex ear-related surgery and associated tissue transfer. The section centers on CPT coding for an auditory system procedure and an additional reconstructive component.
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Radiology: Diagnostic Radiology (Diagnostic Imaging)
A radiology Q&A about chest and rib imaging views in relation to code selection. The section explains the general basis used for reporting these diagnostic imaging studies.
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Medicine: Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions and Chemotherapy
A medicine-section question addressing infusion reporting across separate calendar days during an observation stay. The discussion is centered on CPT infusion coding conventions and payer policy considerations.
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Category III Codes
A final Q&A concerning a newer transcatheter valve replacement procedure. The section identifies the relevant Category III CPT code family discussed in the article.
What You Will Learn
- How this CPT Assistant bonus article is organized across major CPT sections
- Which general coding topics are addressed in office E/M, prolonged services, surgery, radiology, medicine, and Category III codes
- What kinds of documentation and reporting questions the article answers
- Whether the article may be relevant to billing, coding, auditing, or documentation review work
Who Should Read This
- Medical coders
- Coding auditors
- Physician documentation staff
- Billing professionals
- Compliance teams
- Clinical practice managers
Codes Discussed
Modifiers Discussed
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