Questions and Answers (June 2023)

June 2023 page 25 Questions and Answers Evaluation and Management: Office or Other Outpatient Services Question: A male patient was first referred to an outpatient sleep laboratory that is part of a group practice before he was seen by a physician in that same group practice. The patient then had a subsequent office visit to review the results of his sleep study with the physician. Would the office visit with the physician be reported as a new patient visit because the patient only saw the sleep technician at the sleep laboratory and not the physician? Answer: No, a new...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This June 2023 Q&A article summarizes coding guidance across several CPT subject areas, including evaluation and management, surgery, medicine, and Category III reporting. It is useful for coders, auditors, and billing staff who need to understand the scope of the guidance, the affected specialty areas, and the kinds of questions addressed in the issue. The article also references CPT Professional 2023 guidance and explains the general context for reporting and documentation considerations.

Why This Topic Matters

The article helps readers identify whether their scenario falls within the topics discussed and understand the broader type of CPT guidance covered in this issue. It is relevant for keeping coding workflows aligned with current professional guidance across multiple specialties.

Article Sections

  1. Evaluation and Management: Office or Other Outpatient Services

    Discusses office/outpatient patient status questions within a group practice setting and the broader evaluation and management context.

  2. Surgery: Integumentary System

    Covers a surgical coding question involving debridement in the integumentary system category and related reporting considerations.

  3. Surgery: Musculoskeletal System

    Addresses a spine-related musculoskeletal surgery scenario and the use of an unspecified procedure reporting option.

  4. Surgery: Respiratory System

    Reviews bronchoscopy-related reporting questions within the respiratory surgery section and the documentation context for the service.

  5. Surgery: Digestive System

    Discusses a digestive system surgery scenario involving laparoscopy and reporting considerations for an unlisted procedure category.

  6. Medicine: Special Services, Procedures and Reports

    Covers a medicine coding question related to public health emergency-era reporting guidance and CPT professional references.

  7. Medicine: Adaptive Behavior Services

    Explores adaptive behavior service protocol modification within the medicine section and the scope of the service category.

  8. Medicine: Central Nervous System Assessments/Tests

    Addresses neuropsychological and psychological testing services in the context of concussion-related assessment tools and reporting categories.

  9. Category III

    Discusses a Category III digital pathology reporting question involving add-on and primary pathology service reporting relationships.

What You Will Learn

  • Which major CPT subject areas are addressed in the June 2023 Q&A
  • How the article frames reporting questions for office/outpatient evaluation and management
  • What kinds of surgery and medicine scenarios are discussed in the issue
  • How the article approaches Category III reporting context
  • Which general documentation and reporting themes are emphasized across the questions

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Practice managers
  • Compliance staff
  • Physician office staff

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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