AMA CPT® Assistant - 2022 Issue 12 (December)

Questions and Answers (December 2022)

December 2022 pages 15-18 Questions and Answers Evaluation and Management (E/M): Office or Other Outpatient Services Question: Do the statements “laboratory tests reviewed” (not ordered during the encounter or by the provider) or “outside records reviewed” without any analysis, summary, or reference to the results of the laboratory tests qualify for data credit based on the Current Procedural Terminology (CPT®) 2021 E/M Guidelines? Answer: The CPT 2021 E/M Guidelines specify that data elements themselves (eg, glucose) may not be subject to analysis; however, they are included in the thought processes for diagnosis, evaluation, or treatment, instead. Per the...

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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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