AMA CPT® Assistant - 2002 Issue 5 (May)
Special Services, Procedures, and Reports (May 2002)
May 2002 page 19-end Coding Consultation Special Services, Procedures, and Reports, 99000-99091 (Q&A) Question When I report a code from the special services, procedures and reports (99000-99091), in addition to an evaluation and management (E/M) code, should I append modifier -25 to the E/M code? AMA Comment The codes listed in the special services, procedures and reports section (99000-99091) identify various services and reports that are adjunctive to the basic services rendered. These codes describe circumstances under which practitioner services are performed. Modifier -25 indicates that a separately identifiable E/M service was performed on the same day as...
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Article Overview
This article explains a coding question from CPT Assistant about the Special Services, Procedures, and Reports section and how it relates to evaluation and management reporting. It is useful for coders, billers, and compliance staff who need to understand the scope of adjunctive services and the general guidance discussed in this Q&A format.
Why This Topic Matters
Articles like this help clarify how CPT guidance addresses reporting relationships between service categories, reducing uncertainty when reviewing same-day claims and documentation.
Article Sections
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Coding Consultation
An introductory coding consultation setting up the question addressed in the Q&A. It frames the article’s focus on a CPT reporting scenario involving service categories and same-day reporting.
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Question
The specific coding question posed in the article. It asks about reporting a Special Services, Procedures, and Reports code alongside an evaluation and management service.
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AMA Comment
The response section that provides the official commentary discussed in the article. It explains the broader relationship between the service category and evaluation and management reporting.
What You Will Learn
- The general purpose of the CPT Special Services, Procedures, and Reports section
- How the article frames a same-day reporting question involving evaluation and management services
- The type of official commentary provided in a CPT Assistant Q&A format
- How this article fits within CPT guidance on adjunctive services and reporting context
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practice administrators
- Auditors
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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