AMA CPT® Assistant - 2021 Issue 7 (July)

Frequently Asked Questions (July 2021)

July 2021 page 8 Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: A patient is seen by a physician or other qualified health care professional (QHP) in a cardiology clinic where recent laboratory results (not billed by the clinic or physician) are documented or reviewed and counted as data elements for determining the E/M level of medical decision making (MDM) for all E/M office codes (99202-99205, 99212-99215). The patient returns a month later and is seen by a different physician in the same specialty and clinic. May this second physician count data elements for...

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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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