E/M: Decode the independent interpretation of tests for MDM coding

Article Overview

This article covers CPT guidance on when independent review or interpretation of a test may be counted toward E/M medical decision-making, with emphasis on documentation expectations, limits on what qualifies, and the interaction between E/M reporting and separately billed diagnostic services. It is intended for coding staff, physicians, and other clinicians who document or audit E/M services and need to understand the current CPT framework referenced by the AMA and CPT Assistant updates.