AMA CPT® Assistant - 2007 Issue 4 (April)

Evaluation and Management: Office or Other Outpatient Services, Consultations (April 2007)

April 2007 page 11 Coding Communication:Evaluation and Management: Office or Other Outpatient Services, Consultations Question What are the main differences between the Office or Other Outpatient Services codes 99201-99215 and the Office or Other Outpatient Consultation codes 99241-99245? AMA Comment Codes 99201-99215 are used to report evaluation and management (E/M) services provided in the physician's office or in an outpatient or other ambulatory facility. The Office or Other Outpatient Consultation codes, on the other hand, are specifically designated as consultations. A consultation is defined as a service provided by a physician whose opinion or advice regarding E/M of a...

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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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