tci E/M Coding Alert - 2023 Issue Q4

You Be The Coder: Rely on Documentation for Test Review

Question: Our surgeon has performed an esophageal ablation of polyps for a patient in the past. At a recent appointment, the surgeon counted a review of the findings from the past procedure as part of the time for the E/M code selection, even though the surgeon previously reviewed the findings with the patient at a prior appointment. Is that OK? South Carolina Subscriber Answer: CPT® does not place a limit on how often a provider counts actions like the review of test results or counseling a patient about a specific issue, although different payers may possibly restrict this practice...

To read the full article, sign in and subscribe to tci E/M Coding Alert.

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