AMA CPT® Assistant - 2004 Issue 11 (November)

Evaluation and Management (November 2004)

November 2004 page 11a Coding Consultation:Questions and Answers Evaluation and Management, 99201-99215 (Q&A) Question Can evaluation and management codes 99201-99215 (excluding 99211) be used by midlevel providers, or are these codes limited to usage by physicians (face-to-face time)? AMA Comment From a CPT coding perspective, codes 99201-99215 (excluding 99211) are intended to be reported for physician office or other outpatient visits. However, many thirdparty payers have allowed these codes to be reported by nonphysician health care professionals. It is recommended that you check with the third-party payers policies prior to reporting the codes by nonphysician health care professionals...

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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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