tci E/M Coding Alert - 2022 Issue Q1

Reader Questions: Focus on ‘New’ or ‘Established’ to Unlock E/M Code for CT

Question: Notes indicate the provider performed an office evaluation and management (E/M) service that included moderate medical decision making (MDM) and took 43 minutes. Then, the provider performed a computed tomographic (CT) angiography on the patient. What is the correct coding for this encounter? West Virginia Subscriber Answer: Before you code this encounter, you’ll need to go back to the notes (or the provider) and ask these questions: Is the patient new or established? In what anatomical area is the provider performing the CT angiography? E/M code: If the patient was new, you’d report 99204 (Office or...

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