With regards to the components of evaluation and management code level selection, does the elimination of the patient history and physical examination with the review of systems (ROS) apply to the athletic training evaluation codes (97169-97172)? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium coding article addresses whether recent evaluation and management history and examination changes affect athletic training evaluation reporting. It is aimed at coding professionals, compliance staff, and clinicians who document or review CPT services in physical medicine and rehabilitation. The article focuses on the athletic training evaluation and re-evaluation framework, the documentation elements associated with those services, and the body area and body system definitions used for reporting.

Why This Topic Matters

It helps readers determine whether general E/M documentation changes apply to athletic training evaluation services and understand the broader documentation framework relevant to CPT reporting in this area.

Article Sections

  1. Athletic training evaluation codes and E/M history and examination changes

    This section addresses whether changes to general evaluation and management documentation requirements affect athletic training evaluation reporting. It places the discussion within the CPT Medicine and Physical Medicine and Rehabilitation context.

  2. Athletic training evaluation code descriptors

    This section summarizes the documentation elements associated with the athletic training evaluation and re-evaluation services referenced in the article. It also covers the overall structure of the evaluation and plan-of-care framework.

  3. Definitions

    This section provides the reporting definitions used for athletic training evaluation services. It outlines the broad categories of body areas and body systems referenced for this topic.

What You Will Learn

  • How the article relates general E/M documentation changes to athletic training evaluation reporting
  • What broad documentation categories are associated with athletic training evaluation services
  • How body area and body system definitions support reporting for these services
  • What topics are covered for athletic training re-evaluation and plan-of-care review

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Physical medicine and rehabilitation staff
  • Physicians and other qualified health care professionals
  • Athletic training documentation reviewers

Codes Discussed

Code Ranges Discussed


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