AMA CPT® Assistant - 2021 Issue 5 (May)

Coding Clarification: Counting Each Unique Test (May 2021)

May 2021 pages 8-10 Coding Clarification: Counting Each Unique Test After the release of the Current Procedural Terminology (CPT®) 2021 revised guidelines and revised code descriptors for office or other outpatient evaluation and management (E/M) services, numerous inquiries were received and clarification requested pertaining to how tests counted toward medical decision making (MDM) level selection. In response, the CPT Editorial Panel’s (the Panel’s) executive committee accepted technical corrections to the E/M guidelines to provide clarification in several key areas. The technical corrections were posted to https://www.ama-assn.org/practice-management/cpt/cpt-evaluation-and-management on March 9, 2021, and became effective as of January...

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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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