AMA CPT® Assistant - 2013 Issue 3 (March)

Evaluation and Management (Q&A) (March 2013)

March 2013 page 13 Evaluation and Management Question: Is it appropriate to report an office visit code (99211-99215) when the patient is not present? For example, the family of a stroke patient comes in to discuss the patient's care with the physician, while the patient is left at home. This is assuming the physician wants to report the E/M service based on time with non-face-to-face patient contact. Answer: Yes. The evaluation and management (E/M) services guidelines on page 8 of the 2013 CPT Professional Edition codebook state, "Face-to-face time (office and other outpatient visits and office consultations): For coding...

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