AMA CPT® Assistant - 2006 Issue 11 (November)
Evaluation and Management (November 2006)
November 2006 page 21 Evaluation and Management, 99211 (Q&A) Question What is the appropriate way to report two evaluation and management (E/M) services if a patient is seen in the physician's office in the morning and later that same date of service is admitted to the hospital? AMA Comment The initial hospital care level of service reported by the admitting physician should include all E/M services provided to that patient in conjunction with that admission on the same date. For example, if the physician provides an E/M service to the patient in the office (or other site of...
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Article Overview
This short CPT Assistant Q&A addresses evaluation and management coding considerations for same-day office and hospital encounters. It is useful for coders, billers, and physician practices that handle admission-related E/M reporting and want to understand the scope of the AMA’s guidance in this scenario.
Why This Topic Matters
Same-day encounters can create uncertainty about how multiple E/M services should be reflected in reporting. This article clarifies the general AMA position for readers who need to assess whether separate reporting is appropriate in a hospital admission context.
What You Will Learn
- The general topic of same-day E/M services across office and hospital settings
- How AMA CPT Assistant frames admission-related E/M reporting questions
- What kinds of encounter scenarios the article discusses at a high level
- The relevance of the guidance for physicians and coding staff managing hospital admissions
Who Should Read This
- Physicians
- Professional coders
- Billing staff
- Practice managers
- Hospital coding personnel
Codes Discussed
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