AMA CPT® Assistant - 1998 Issue 1 (January)
Coding for Counseling (January 1998)
January 1998 page 5 Coding Communication Coding for Counseling The descriptors for the levels of Evaluation and Management (E/M) services recognize seven components, six of which are used in defining the levels of E/M services. They are: history; examination; medical decision making; counseling; coordination of care; nature of presenting problem; and time. The first three components (ie, history, examination, and medical decision making) are considered the key components in selecting a level of E/M services. The next three components (counseling, coordination of care, and the nature of the presenting problem) are considered contributory factors in the majority of encounters...
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