AMA CPT® Assistant - 2021 Issue 9 (September)

Frequently Asked Questions

Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: Regarding E/M Office or Other Outpatient Services guidelines in the Current Procedural Terminology (CPT ®) 2021 code set and medical decision making (MDM), when drug therapy requiring intensive monitoring for toxicity is performed and the monitoring becomes routine, does this routine monitoring support high-risk component of MDM at every encounter? Answer: No, although intensive monitoring for the toxicity of a drug is considered a high-level component of MDM, it is only one element of MDM. The CPT 2021 E/M guidelines specify that monitoring for the...

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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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