AMA CPT® Assistant - 2026 Issue 7 (July)
Questions and Answers
July 2026 page 31 Questions and Answers Evaluation and Management (E/M): Office or Other Outpatient Services Question: A 71-year-old established patient is seen by their primary care physician (PCP) for their routine 6-month follow-up for hypertension, hyperlipidemia, type 2 diabetes mellitus (DM), bilateral osteoarthritis, and chronic obstructive pulmonary disease (COPD). The patient’s conditions are stable, and the prescriptions are continued and renewed without change because the patient is taking the medication appropriately and their DM and COPD are under control. The PCP ordered and reviewed the CBC, lipid profile, and A1C, and performed an independent interpretation of the knee...
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Article Overview
This article presents a set of coding questions and answers for commonly encountered clinical scenarios in evaluation and management, anesthesia, and surgical services. It is aimed at coders, billers, auditors, and other revenue cycle professionals who need to understand how the article addresses code selection, procedure categories, and modifier usage across multiple specialties. The discussion spans office/outpatient E/M documentation, anesthesia physical status reporting, and several surgical coding examples.
Why This Topic Matters
It helps coding professionals gauge whether the full article addresses the type of encounter or procedure they are working on, while also signaling the broad areas of CPT-based guidance covered in the issue.
Article Sections
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July 2026 page 31
Issue/date identification for the Q&A page.
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Evaluation and Management (E/M): Office or Other Outpatient Services
An office/outpatient E/M scenario involving established-patient follow-up care and review of diagnostic data.
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Anesthesia: Head
Anesthesia scenarios involving procedures in the head and neck region, including salivary glands and nasal surgery, with physical status reporting.
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Anesthesia: Intrathoracic
An anesthesia scenario related to central venous access and the reporting considerations associated with patient condition status.
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Surgery: Integumentary System
Surgical coding scenarios involving skin and soft tissue procedures, including excision, repair, and eyelid surgery.
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Surgery: Mediastinum and Diaphragm
A surgical scenario involving diaphragm resection and repair in the setting of a hepatic lesion extension.
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Surgery: Digestive System
Digestive-system procedures including oral cavity biopsy and hernia repair.
What You Will Learn
- How the article frames coding questions across multiple CPT service categories
- What types of E/M documentation topics are discussed
- What anesthesia-related topics are covered, including physical status modifiers
- What surgical specialties and procedure types are addressed in the Q&A format
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle professionals
- Physician practice staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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