AMA CPT® Assistant - 2024 Issue 3 (March)

Questions and Answers (March 2024)

March 2024 page 24 Questions and Answers Evaluation and Management (E/M): Office or Other Outpatient Services Question: Would it be appropriate to report code 99205 after ordering six tests on the same panel during an office visit for a new patient with a high number of problems of high complexity addressed? Would it be appropriate to count the six-tests order twice to meet two of the three Category 1 medical decision making (MDM) elements for a high-level MDM? Answer: No, ordering six tests on the same panel is counted as meeting one element for Category 1. To report code...

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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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