AMA CPT® Assistant - 2007 Issue 1 (January)

Evaluation and Management: Counseling (January 2007)

January 2007 page 28 Coding Communication:Evaluation and Management: Counseling Question I am aware that when counseling and/or coordination of care constitute more than 50% of the physician-patient and/or physician- family encounter, time may be considered the key or controlling factor to qualify for a particular level of evaluation and management (E/M) service. However, I am unclear as to what constitutes counseling. Does the AMA define what constitutes counseling? AMA Comment The CPT nomenclature defines counseling, as it relates to E/M coding, as a discussion with the patient and/or family or other caregiver concerning one or more of the following...

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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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