AMA CPT® Assistant - 2009 Issue 12 (December)

Evaluation and Management (E/M) Services (December 2009)

December 2009 page 9 Bonus Feature:Evaluation and Management (E/M) Services Question: When choosing a new or established outpatient E/M service code, is it necessary to perform all three key components in order to qualify for reporting? Patty Shol, CPC Answer: History, examination, and medical decision making are considered the key components in selecting a level of E/M services. As a general rule, these are the first components to be considered when determining the level of E/M service to report. As indicated in the descriptor language of the new and established outpatient E/M service codes 99201-99205, each of the three...

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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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