AMA CPT® Assistant - 2023 Issue 2 (February)

Questions and Answers (February 2023)

February 2023 page 12 Questions and Answers Evaluation and Management: Consultations Question: A patient is seen by a cardiologist in the office. Two weeks later, the patient is admitted to the hospital by a physician other than the cardiologist, and the cardiologist is contacted for a consult. What would be the appropriate Current Procedural Terminology (CPT®) code(s) to report for this scenario? Answer: In this scenario, the cardiologist would report the appropriate consultation code (99242-99245), while the admitting physician would report the appropriate inpatient or observation care code (99221-99223). If the patient remains hospitalized, then an appropriate subsequent...

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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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