Outpatient Facility Coding Alert - 2019 Issue 12
Reader Question: Follow This Guideline, Keep Test Results, E/M Separate
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Article Overview
This article explains a reader question about whether an evaluation and management service can be reported in addition to allergy testing when the physician reviews test results with the patient. It summarizes CPT guidance relevant to allergy testing procedures, the relationship between test interpretation and reporting, and the general use of modifier 25 in same-day circumstances. The piece is aimed at medical coders and billing staff who work with office visits, allergy testing, and CPT guidance.
Why This Topic Matters
Understanding when post-test discussion is already included versus when a separate service may be considered helps prevent improper billing and supports more accurate CPT reporting.
Article Sections
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Question
A reader asks about reporting an additional service after allergy testing when the physician reviews results with the patient.
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Answer
The response summarizes CPT guidance related to allergy testing and same-day evaluation and management reporting, including the general role of modifier 25.
What You Will Learn
- How this coding scenario is framed in a reader question and answer format
- The relationship between allergy testing and post-test review services
- Where to look in CPT guidance for allergy testing-related reporting notes
- The general concept of reporting a separate same-day evaluation and management service
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Physician office staff
Code Ranges Discussed
Modifiers Discussed
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