AMA CPT® Assistant - 2021 Issue 2 (February)

Frequently Asked Questions (February 2021)

February 2021 page 13 Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: What is the most appropriate Current Procedural Terminology (CPT®) code to report lactation consultation services performed by a nurse in the clinic after delivery? Answer: A physician or other qualified heath care professional (QHP) may report code 99211, Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal, for services performed by a nurse. An advanced...

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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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