decisionhealth Newsletters, Coder Pink Sheets - 2023 Issue 7 (July)
Understanding E/M: Calling patient with test results is not a telephone E/M service
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Article Overview
This article reviews telephone evaluation and management guidance in the context of patient calls about test results. It is aimed at physicians, nurse practitioners, and coding staff who need to understand the CPT framework, including when a call may be bundled with another service and what documentation concepts are discussed in the source. The article also references a CPT Assistant example to illustrate the topic at a high level.
Why This Topic Matters
Understanding how telephone E/M guidance applies helps practices avoid inaccurate reporting and better align documentation and coding workflows for patient communications.
Article Sections
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Question
Introduces the scenario involving patient calls about test results and asks whether the calls may be reported as telephone E/M services.
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Answer
Explains the general guidance discussed in the article and frames why the reported phone calls are not treated as reportable telephone E/M services in the described situation.
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Telephone E/M guidance and bundling considerations
Summarizes CPT guidance on telephone evaluation and management services and notes the circumstances discussed in the article where such services are considered part of another service.
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CPT Assistant example and documentation reminder
References a CPT Assistant scenario used to reinforce the topic and highlights the documentation concepts mentioned in the article.
What You Will Learn
- How the article frames telephone E/M services in relation to patient calls about test results
- What broad CPT guidance the article says applies to telephone E/M reporting
- Which general situations the article identifies as affecting whether a call is separately reported
- What documentation concepts the article emphasizes for support of a billable call
Who Should Read This
- Physicians
- Nurse practitioners
- Medical coders
- Billing staff
- Practice administrators
Codes Discussed
Code Ranges Discussed
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