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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Article Overview
This article is a multi-topic CPT Assistant Q&A roundup for February 2023. It covers coding guidance issues spanning consultations, neonatal and pediatric critical care, musculoskeletal surgery, nervous system surgery, diagnostic ultrasound, ophthalmology, pulmonary services, remote therapeutic monitoring, and a Category III CPT 2023 deletion question. It is useful for coders, billers, and compliance staff who need to understand the scope of current CPT guidance and related reporting considerations.
Why This Topic Matters
The article helps readers identify when a question involves CPT consultation, inpatient, critical care, ultrasound, ophthalmology, pulmonary, or remote monitoring reporting issues. It is relevant for practices and facilities reviewing 2023 CPT updates and clarifications in multiple specialties.
Article Sections
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Evaluation and Management: Consultations
Addresses a consultation scenario involving office and hospital-based care reporting within evaluation and management services.
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Evaluation and Management: Inpatient Neonatal Pediatric, Neonatal Critical Care
Discusses neonatal and pediatric critical care reporting in situations involving multiple clinicians on the same day.
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Surgery: Musculoskeletal System
Covers a musculoskeletal surgery question involving reporting considerations after tendon-related operative work and use of an injected product.
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Surgery: Nervous System
Explains a nervous system surgery topic related to reconstruction terminology used with a cervical laminoplasty code.
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Radiology: Diagnostic Ultrasound
Addresses how a biliary ultrasound service is handled in the context of percutaneous access and related radiology coding questions.
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Medicine: Ophthalmology
Clarifies a supervision question tied to an ophthalmology training service in the medicine section.
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Medicine: Pulmonary
Discusses a pulmonary medicine question about patient-initiated spirometric recording and related service characteristics.
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Medicine: Remote Therapeutic Monitoring Treatment Management Services
Reviews a remote therapeutic monitoring management question focused on time-based reporting and introductory guideline context.
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Category III
Addresses a deleted Category III code and the reporting approach for the described ophthalmologic service in 2023.
What You Will Learn
- How this CPT Assistant issue is organized across major specialty areas
- Which general types of reporting questions are addressed in the article
- What kinds of 2023 CPT clarifications are discussed for inpatient, procedural, imaging, and monitoring services
- How the article frames guidance for deleted or unlisted services in a general sense
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance teams
- Physician practices
- Hospital revenue cycle staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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