AMA CPT® Assistant - 2025 Issue 9 (September)
Questions and Answers
September 2025 pages 21-25 Questions and Answers Evaluation and Management: Office or Other Outpatient Services Question: An established patient with a cough and sore throat was seen in the office. A strep test was administered, which had a positive result, and the patient was prescribed antibiotics with a discussion of potential side effects. What would be the appropriate evaluation and management (E/M) code to report for this scenario? Answer: It would be appropriate to report code 99213 , Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination...
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Article Overview
This article presents short coding questions and answers drawn from several clinical areas, including office/outpatient evaluation and management, obstetric anesthesia, and surgical procedures involving the integumentary, respiratory, lymphatic, urinary, and eye/ocular adnexa systems. It is useful for coders and billing staff who want to review how the article addresses code selection, documentation themes, and modifier usage in a question-and-answer format.
Why This Topic Matters
It helps readers understand the kinds of coding scenarios addressed in the issue and whether the content is relevant to their specialty or daily coding work. The article also signals where the guidance touches on evaluation and management, procedure reporting, and modifier application in routine case-based examples.
Article Sections
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September 2025 pages 21-25
Issue and page reference for the question-and-answer content that follows.
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Evaluation and Management: Office or Other Outpatient Services
A brief office/outpatient E/M scenario focused on code selection for an established-patient visit and related medical decision-making themes.
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Anesthesia: Obstetric
An obstetric anesthesia scenario involving labor-related anesthesia reporting in the context of an induced delivery case.
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Surgery: Integumentary System
A skin-lesion treatment scenario centered on destruction of a benign lesion and related procedure reporting topics.
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Surgery: Respiratory System
Multiple respiratory-system scenarios addressing nasal, sinus, and bronchoscopic procedure reporting topics.
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Surgery: Hemic and Lymphatic Systems
A lymph-node drainage scenario discussing procedure extent and related reporting considerations.
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Surgery: Urinary System
A bladder repair scenario that also mentions modifier use when only part of a service is performed.
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Surgery: Eye and Ocular Adnexa
An eye-related lacrimal canaliculi probing scenario with laterality-related reporting context.
What You Will Learn
- How the article frames selected evaluation and management, anesthesia, and surgical coding questions
- Which specialties and body systems are covered in the issue
- What kinds of documentation and reporting topics are highlighted in the answer format
- Where modifier use is discussed in procedural coding examples
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Practice managers
- Clinical documentation staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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