AMA CPT® Assistant - 2000 Issue 1 (January)
Evaluation and Management (January 2000)
January 2000 page 11a Coding Consultation Evaluation and Management, 99232 (Q&A) Question What is the definition of an interval history? How much documentation supports an interval history? AMA Comment An interval history focuses on the period of time since the physician last performed an assessment of the patient. The physician is required to meet the key components listed in the code descriptor, so the documentation required for an interval history will depend upon the level of evaluation and management service provided by the physician. For example, if the physician is providing subsequent hospital care to an inpatient, and...
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Article Overview
This article explains a documentation concept used in evaluation and management coding and places it in the context of a CPT consultation-style Q&A. It is aimed at coders, clinicians, and compliance staff who need to understand the general documentation requirements discussed for inpatient subsequent hospital care and related E/M services.
Why This Topic Matters
Understanding how interval history is discussed in E/M guidance helps readers align documentation with the general level-of-service framework used in CPT-based coding.
What You Will Learn
- The general purpose of an interval history in evaluation and management documentation.
- How the article frames documentation expectations in relation to the level of E/M service.
- How the topic is discussed in the context of subsequent hospital care.
- The kind of coding question addressed in a CPT Assistant Q&A format.
Who Should Read This
- Medical coders
- Clinical documentation staff
- Physicians
- Compliance professionals
- Revenue cycle staff
Codes Discussed
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