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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Article Overview
This article summarizes multiple February 2021 coding questions and answers from CPT Assistant, spanning office and outpatient E/M, diagnostic radiology, genomic sequencing, miscellaneous medicine services, and Category III code topics. It is useful for coders, billers, and compliance staff who need to understand the scope of current CPT guidance, the kinds of scenarios addressed, and the code sets implicated in each discussion.
Why This Topic Matters
The article helps readers determine whether it addresses their specialty area or code set of interest and highlights where current CPT guidance touches common operational questions across several service categories. It also signals that the discussion includes payer-policy caveats and code-set-specific guidance that may affect reporting practices.
Article Sections
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Evaluation and Management (E/M): Office or Other Outpatient Services
Questions in this section address office and outpatient E/M topics related to postpartum services and remote monitoring setup. It also discusses when a service may be outside the standard code set and require a different reporting approach.
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Radiology: Diagnostic Radiology (Diagnostic Imaging)
This section covers diagnostic radiology questions involving abdomen and small intestine imaging, as well as a separate inquiry about additional image review and documentation work for prior studies. It focuses on how the article frames imaging service categories and related documentation issues.
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Pathology and Laboratory: Genomic Sequencing
This section discusses a hereditary cancer sequencing panel and compares several molecular pathology code options. It also references multiple gene panels and genomic sequencing service categories.
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Medicine: Miscellaneous Medicine Services
This section addresses a new medicine-services code and whether it may be reported in certain in-person encounter circumstances. It centers on the scope of a miscellaneous service category and who may report it.
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Category III Codes
This section covers a pair of emerging procedure codes used in a wound imaging context. It focuses on how the article frames reporting at the anatomic-site level within the Category III code set.
What You Will Learn
- Which broad CPT service categories are discussed in the February 2021 FAQ article
- How the article frames office and outpatient E/M scenarios
- What kinds of diagnostic radiology topics are addressed
- How the article discusses genomic sequencing panel questions
- What miscellaneous medicine service topic is included
- Which Category III code topics are covered
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practices
- Clinical documentation staff
Codes Discussed
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