AMA CPT® Assistant - 2019 Issue 10 (October)

Frequently Asked Questions (October 2019)

October 2019 page 10 Frequently Asked Questions Evaluation and Management/Office or Other Outpatient Services Question: What is the appropriate code(s) to report administration of intranasal esketamine, including physician attendance and supervision of monitoring by a clinical staff (eg, registered nurse)? This medication is given in the office setting following an assessment of the patient’s current condition; once given, observation of the patient is required to look for changes in physiological response or side-effect(s). Answer: The office visit is reported with the appropriate evaluation and management (E/M) code (99201-99215). In addition, depending on the total time for monitoring the patient...

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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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