Per the Evaluation and Management (E/M) services guidelines under the heading, "Services reported Separately" if

Per the Evaluation and Management (E/M) services guidelines under the heading, "Services reported Separately" if a test/study is reviewed in order to manage the patient as part of the E/M service, but is not separately reported, it is part of the Medical Decision Making (MDM). In a Cardiology group, during the course of an office visit, the Nurse Practitioner (NP) orders an X-ray which is later interpreted by a physician in the same group/specialty and the interpretation reported by the physician. When determining the level of MDM, would the NP be able to count the order of the X-ray as an MDM element when determining the level of MDM?

To view the Official AMA answer and 1000s more like this:

CPT® Knowledge Base is a compendium of real life coding questions asked by the coding community and answered by CPT® coding experts.

Over 2900 questions and authoritative answers from the CPT® professionals at the AMA. Get specific answers to challenging coding questions, and search the knowledge base of others' real world questions.

Access to this feature is available in the following products:

AMA's CPT® Advanced Coding Pack

Thank you for choosing Find-A-Code, please Sign In to remove ads.

MY NEWSLETTERS

FEES

FACILITY

RISK ADJUSTMENT

CPT Knowledgebase - Feb 2, 2023