Evaluation and Management (September 2002)

September 2002 page 11a Coding Consultation:Evaluation and Management Evaluation and Management, 99241-99275 (Q&A) Question Is it appropriate for a Physician Assistant (PA) to request a consultation from a physician? The consultation guidelines indicate that the consultation can be requested by another physician or other appropriate source. What is considered an appropriate source? AMA Comment From a CPT coding perspective, CPT guidelines do not set restrictions regarding individuals who may be considered an "appropriate source" when reporting the consultation evaluation and management services codes 99241-99275. Some common examples include a physician assistant, nurse practitioner, doctor of chiropractic, physical therapist...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews selected CPT evaluation and management coding questions from September 2002. It addresses general consultation request sources and discusses documentation expectations for emergency department visit reporting when a patient’s condition affects the ability to complete standard elements. The content is aimed at coders, billing staff, and clinicians who support E/M documentation.

Why This Topic Matters

Understanding these CPT E/M topics helps readers interpret consultation and emergency department reporting guidance in a way that supports consistent documentation and code selection.

Article Sections

  1. Coding Consultation: Evaluation and Management

    Introduces a consultation-related E/M question and the accompanying CPT commentary on who may request such services.

  2. Emergency Department Visit Reporting

    Presents a question about reporting an emergency department E/M service when patient condition limits routine assessment components, followed by CPT commentary.

What You Will Learn

  • How the article frames consultation-related E/M questions
  • What kinds of general topics are addressed in emergency department E/M reporting guidance
  • How the September 2002 CPT Assistant discussion is organized as a Q&A resource
  • Which professional audiences may find the article relevant for E/M documentation review

Who Should Read This

  • Coders
  • Billing staff
  • Physicians
  • Physician assistants
  • Compliance staff

Codes Discussed

Code Ranges Discussed


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