AMA CPT® Assistant - 2022 Issue 9 (September)

Questions and Answers (September 2022)

September 2022 page 17 Questions and Answers Evaluation and Management (E/M) Services Guidelines Question: A physician or other qualified health care professional (QHP) reviews an electronic medical record (EMR) that contains a computed tomography (CT) scan report, an operative note, and a pathology report that came from three different specialties within the same hospital. Is this EMR considered a single unique source because all documents are from the same entity (the hospital) or three independent unique sources of data because they came from three different specialties? Answer: Review of outside records from a single source, in this case, hospital...

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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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