AMA CPT® Assistant - 2006 Issue 10 (October)
Evaluation and Management (October 2006)
October 2006 page 15-end Evaluation and Management, 99381, 99397, 99201, 99215 (Q&A) Question If a preventive medicine service (99381-99397) and an office or other outpatient service (99201-99215) are each provided during the same patient encounter to a new patient, is it appropriate to report each evaluation and management (E/M) service as a new patient visit? Or is it appropriate to report the preventive medicine service as a new patient and the acute visit (ie, office or other outpatient service, 99201-99215) as an established patient? AMA Comment It is important to first take careful note of the New and...
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Article Overview
This Q&A article explains how CPT evaluation and management guidance applies when preventive medicine services and office or other outpatient services occur in the same general episode of care or on separate dates. It is intended for coders, billers, and clinical documentation staff who need to understand the relevant CPT 2006 E/M framework and patient-status rules discussed by AMA CPT Assistant.
Why This Topic Matters
Correctly recognizing the article’s scope helps readers determine whether it addresses new and established patient classification, same-encounter reporting, and related CPT E/M guidance for preventive and outpatient services.
Article Sections
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October 2006 page 15-end
This section presents a question-and-answer discussion of CPT evaluation and management guidance for preventive medicine and office or other outpatient services. It focuses on the patient-status framework and related E/M reporting considerations in the 2006 CPT context.
What You Will Learn
- How the article frames evaluation and management guidance for preventive medicine and outpatient services.
- What general patient-status concepts are discussed in relation to CPT E/M reporting.
- Which types of service settings and encounter timing the article addresses.
- How the AMA commentary situates the topic within CPT 2006 E/M guidelines.
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Practice managers
- Physician documentation specialists
Codes Discussed
Code Ranges Discussed
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