AMA CPT® Assistant - 2022 Issue 4 (April)

Questions and Answers (April 2022)

April 2022 page 12 Questions and Answers Evaluation and Management (E/M): Office or Other Outpatient Services Question: What information is necessary in order to report E/M office visit codes based on time, rather than medical decision making (MDM)? Answer: Total time on the date of the encounter must be documented when time is used as the basis for Current Procedural Terminology (CPT®) E/M code selection, including both the face-to-face and non–face-to-face time personally spent by the physician and/or other qualified healthcare professional (QHP). It includes time performing activities that require the physician or other QHP; however, it does...

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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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