AMA CPT® Assistant - 2022 Issue 7 (July)
Questions and Answers (July 2022)
July 2022 page 17 Questions and Answers Evaluation and Management: Prolonged Services Question: Is it appropriate for health care professionals who are not qualified to report Current Procedural Terminology (CPT®) evaluation and management (E/M) services codes (99202–99499) because of their scope of practice (eg, clinical social workers) to report codes 99354 and 99357 for prolonged services? Answer: No, it would not be appropriate for health care professionals with limited scope(s) of practice to report codes 99354, Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in...
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Article Overview
This July 2022 CPT Assistant questions-and-answers article addresses a range of coding topics across multiple specialties, including evaluation and management, surgery, radiology, and pathology and laboratory. It is relevant to coders, billers, and compliance staff looking for clarification on how the CPT code set is discussed in practical reporting scenarios and how payer-related distinctions may affect reporting and data analysis.
Why This Topic Matters
The article helps readers understand the scope of several CPT-related reporting questions in one place, including specialty-specific coding topics and payer-context considerations. It is useful for professionals who need to determine whether the article contains guidance relevant to their coding workflow or policy review.
Article Sections
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Evaluation and Management: Prolonged Services
Questions and answers on prolonged services in the context of evaluation and management reporting. The section focuses on scope-of-practice considerations and related CPT guidance.
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Surgery: Musculoskeletal System
Questions and answers involving musculoskeletal surgical procedures and related CPT reporting topics. The discussion includes procedure classification and reporting distinctions within surgery.
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Surgery: Respiratory System
Questions and answers on respiratory system procedures, including laryngeal and related surgery topics. The section addresses when broader CPT guidance or unlisted reporting is discussed.
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Surgery: Nervous System
Questions and answers involving nervous system procedures and related CPT coding topics. The section includes nerve blocks, neuroplasty, implanted pump services, and pituitary-related surgery guidance.
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Radiology: Diagnostic Radiology (Diagnostic Imaging)
Questions and answers about diagnostic imaging coding in radiology. The section addresses modality selection and anatomic area considerations under CPT.
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Radiology: Diagnostic Ultrasound
Questions and answers on ultrasound-guided diagnostic procedures and reporting components. The section also discusses component reporting and modifier use in the CPT context.
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Pathology and Laboratory: Organ or Disease-Oriented Panels
Questions and answers about laboratory panel reporting and test counting concepts. The section discusses how panel and individual test groupings are considered in a data-analysis context.
What You Will Learn
- How the article organizes CPT questions by specialty area
- What kinds of E/M, surgery, radiology, and laboratory topics are discussed
- Where the article touches on scope of practice and payer-context issues
- Which sections focus on procedure reporting versus test/panel counting
- Which parts of the article may be relevant to coding policy review or education
Who Should Read This
- Medical coders
- Billing specialists
- Compliance professionals
- Practice managers
- Clinical documentation staff
- Auditors
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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