AMA CPT® Assistant - 2021 Issue 4 (April)

Frequently Asked Questions (April 2021)

April 2021 page 13 Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: How should a new patient office visit for male sterilization counseling performed one day before a vasectomy be reported? For example, some payer(s) may reject the E/M visit claim reported without a modifier if the counseling is performed the day before the procedure; however, an E/M visit claim will be accepted if the counseling is performed at least 2 days before the vasectomy. Is the day before the vasectomy included in the global period? If so, should Current Procedural Terminology (CPT®)...

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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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