AMA CPT® Assistant - 2011 Issue 10 (October)

Evaluation and Management (Q&A) (October 2011)

October 2011 page 10 Evaluation and Management Question: Does reading a radiology film meet the criteria for a "face-to-face encounter for professional services" to define whether a patient is new or established? Answer: No. As indicated on page 7 of the CPT 2011 Professional Edition codebook, "For coding purposes, face-to-face time for these services is defined as only the time that the physician spends face-to-face with the patient and/or family. This includes the time in which the physician performs such tasks as obtaining a history, performing an examination, and counseling the patient." Evaluation and Management (Q&A) (October...

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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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