AMA CPT® Assistant - 2021 Issue 5 (May)

Frequently Asked Questions (May 2021)

May 2021 page 13-end Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: How should ordering multiple tests be counted for Category 1 of the medical decision making (MDM) element Amount and/or Complexity of Data to be Reviewed and Analyzed? For example, if the physician orders a complete blood count (CBC), lipid panel, and glucose test during the same encounter, would this count as ordering three unique tests, and if so, would this meet the required number of items in Category 1 even if there were no review of prior notes and no review of...

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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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