AMA CPT® Assistant - 2021 Issue 11 (November)

Frequently Asked Questions (November 2021)

November 2021 page 12 Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: If an established patient sees a physician or other qualified health care professional (QHP) for two acute, uncomplicated and unrelated problems that are reported with E/M code 99212, may the problems addressed at the encounter be considered as moderate medical decision making (MDM) because two problems were addressed? Answer: No, two acute, uncomplicated, and unrelated problems addressed at the specified encounter would not be considered as moderate MDM. The Current Procedural Terminology (CPT®) 2021 code set defines acute, uncomplicated illness or...

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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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