AMA CPT® Assistant - 2010 Issue 7 (July)
Evaluation and Management (E/M) Services Guidelines (Q&A) (July 2010)
July 2010 page 10 Evaluation and Management (E/M) Services Guidelines (Q&A) Question: If a physician is on call covering for another physician and sees a patient he/she has never seen before, is this patient considered new? Answer: No. When a physician is on call for or covering for another physician, the patient’s encounter is classified as it would have been by the physician who is not available. Evaluation and Management (E/M) Services Guidelines (Q&A) (July 2010). CPT® Assistant. 2010; July 2010 page 10 ...
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Article Overview
This article presents a short July 2010 CPT Assistant question-and-answer on evaluation and management services. It is aimed at coders, billers, and compliance staff who need to understand general E/M guidance in physician coverage scenarios and how encounter classification is handled at a high level.
Why This Topic Matters
Coverage and on-call situations can affect how encounters are reported, so this guidance helps readers recognize the general framework used in E/M service classification.
What You Will Learn
- The article’s focus within evaluation and management services.
- How a coverage or on-call scenario is addressed in general coding guidance.
- The type of practical question the article answers for E/M reporting.
- The context in which CPT Assistant discusses physician coverage situations.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians
- Practice managers
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