AMA CPT® Assistant - 2021 Issue 10 (October)

Frequently Asked Questions

October 2021 page 13 Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: If a laboratory test is ordered and a review of the results of that laboratory test must be combined with other criteria to count as one data element under the 2021 E/M guidelines for medical decision making (MDM), why are there separate bulleted items for review of the results and ordering of each unique test for Category 1 as part of Table 2, Levels of Medical Decision Making in the Current Procedural Terminology (CPT ®) code set? Answer: Table 2, Levels...

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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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