tci Outpatient Facility Coding Alert - 2014 Issue 12
Reader Question: Report 99455 or 99456 for Work Related Exams
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Article Overview
This short Q&A article addresses a coding question about work-related examinations and explains the CPT coding context for these services. It is useful for coders, billers, and physicians who need a quick orientation to the appropriate family of work-disability exam codes and the general elements associated with these visits. The article focuses on the distinction between the two CPT options and the broad components of the examination documentation.
Why This Topic Matters
Work-related examinations are a common source of coding questions because they involve specialized documentation and a specific CPT code family. Understanding the scope of the article helps users decide whether they need the premium guidance for selecting the correct code in this service category.
Article Sections
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Question
Introduces the coding question about work-related examinations and the general service context involved.
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Answer
Summarizes the CPT context for work-related or medical disability examinations and describes the broad elements associated with these services.
What You Will Learn
- How this article frames work-related examination coding in CPT
- Which general service category the article addresses
- What broad documentation and evaluation components are associated with the exam family
- Who the article is intended to code for in this scenario
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Compliance staff
- Practice managers
Codes Discussed
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