AMA CPT® Assistant - 2006 Issue 6 (June)
Revisions to the Evaluation and Management Section (June 2006)
June 2006 pages 1-7 Revisions to the Evaluation and Management Section Notable changes occurred in the Evaluation and Management (E/M) section of CPT 2006. These include the following deletions or whole section revisions in the following categories: Confirmatory Consultations Follow-up Inpatient Consultations Comprehensive Nursing Facility Assessments Subsequent Nursing Facility Care Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services This article will focus on the general guidelines in the consultation sections, the appropriate reporting of follow-up inpatient consultations; confirmatory consultations; nursing facility care codes; and domiciliary, rest home, or custodial care services. Follow-up inpatient and confirmatory consultation codes...
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Article Overview
This article explains major CPT 2006 updates to evaluation and management services. It focuses on revised guidance for consultations, follow-up inpatient services, nursing facility care, and domiciliary/rest home/custodial care, and it includes clarifying discussion of deleted and newly established code families. The content is aimed at coders, billers, and compliance professionals who need to understand how the 2006 CPT changes affected service reporting across different care settings.
Why This Topic Matters
CPT 2006 made several notable E/M changes that affected how services are reported across office, hospital, nursing facility, and domiciliary settings. Understanding these revisions is important for accurate code selection, consistent documentation review, and adapting to deleted or newly created code structures.
Article Sections
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June 2006 pages 1-7
Introductory article placement and scope for the CPT 2006 E/M revisions discussed in the issue.
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Revisions to the Evaluation and Management Section
Overview of the main E/M categories affected by the CPT 2006 revisions and the general areas addressed in the article.
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Revisions Regarding Consultations
General consultation guidance, including changes affecting consultation reporting across office and inpatient settings.
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Deletions
Discussion of code families and service types removed from the consultation-related guidance for CPT 2006.
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Coding Tip
A brief coding note addressing payer-mandated consultation reporting and related modifier use.
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FAQs Related to Consultations
Question-and-answer discussion addressing common consultation reporting scenarios in different care settings.
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Nursing Facility Services
Revised nursing facility service structure, including admissions, subsequent care, and annual assessment changes.
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Domiciliary, Rest Home, or Custodial Care Services
Updates to domiciliary and rest home service reporting, including revised structure and patient complexity considerations.
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Clinical Example
Illustrative example and procedure discussion for a new patient in a domiciliary or assisted living-type setting.
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Summary of Key Points
High-level recap of the article’s major themes across consultations, follow-up care, nursing facility services, and domiciliary care.
What You Will Learn
- How CPT 2006 revised the evaluation and management section
- Which broad consultation topics were affected by deletions and guideline updates
- How nursing facility service categories were restructured
- How domiciliary, rest home, and custodial care guidance changed
- What general issues are highlighted in the article’s examples and summary
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practice administrators
- Documentation reviewers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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