AMA CPT® Assistant - 2023 Issue 8 (August)

Questions and Answers (August 2023)

August 2023 page 16 Questions and Answers Evaluation and Management (E/M) Guidelines Question: When is the conversation between an emergency room (ER) physician and the admitting physician counted as an element in medical decision making (MDM) from the perspective of the ER physician? Answer: In the “Amount and/or Complexity of Data to be Reviewed and Analyzed” section of the E/M guidelines, the definition of discussion states that the discussion is included only when it is used in the MDM of the encounter. Determination of whether a conversation between physicians may be applied toward MDM by the ER physician depends...

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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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