AMA CPT® Assistant - 1993 Issue 1 (Spring)
Procedures Included with Evaluation and Management Codes (Spring 1993)
Spring 1993 pages 34-35 Coding Commentary Procedures Included with Evaluation and Management Codes What procedures are included when evaluation and management codes are reported? We are often asked this question by our readers and would like to clarify just what is included when an evaluation and management service is reported. As indicated in the introduction to the CPT book (page xi of CPT 1993), "each procedure or service is identified with a five digit code." This means that if a specific CPT code number is assigned to a procedure or service, it is not the same as any...
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Article Overview
This Spring 1993 CPT Assistant commentary discusses how evaluation and management services are described in relation to certain procedures, test-related activities, and the CPT separate procedure designation. It is aimed at coders, billers, and compliance staff who need to understand the scope of E/M reporting and how related CPT guidance is framed in the manual. The article also references examples from surgical and diagnostic coding contexts to illustrate the broader categories of guidance covered.
Why This Topic Matters
Understanding what is considered part of an evaluation and management service helps reduce overreporting and supports more consistent CPT reporting. The article also clarifies how CPT’s separate procedure concept is discussed in relation to other reported services.
Article Sections
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Coding Commentary
Introductory commentary on the topic and why the question about included services arises.
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Procedures Included with Evaluation and Management Codes
Discussion of the kinds of procedures and related services addressed in connection with E/M reporting, including minor procedures and test review.
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Separate Procedure
Overview of CPT’s separate procedure designation and how it is presented through surgical examples.
What You Will Learn
- How the article frames procedures associated with E/M services
- How the commentary treats diagnostic test performance versus test review
- How CPT discusses the separate procedure designation in general terms
- What broad types of examples are used to illustrate included services
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practices
- Coding educators
Codes Discussed
Code Ranges Discussed
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