AMA CPT® Assistant - 2007 Issue 5 (May)

Surgery: Digestive System (May 2007)

May 2007 page 9e Coding Communication:Surgery: Digestive System Question If during an evaluation and management (E/M) service, a diagnostic sigmoidoscopy is performed, is it appropriate to report an E/M service with this procedure? AMA Comment When a significant, separately identifiable E/M service is performed in addition to a diagnostic sigmoidoscopy (45330), it may be reported with an E/M service code, appended by modifier 25. The E/M service must meet the required key components for the level of service reported. Surgery: Digestive System (May 2007). CPT® Assistant. 2007; May 2007 page 9e ...

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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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