CPT Knowledgebase - Jul 6, 2021

A patient is seen by a physician or other qualified health care professional (QHP) in a cardiology clinic where recent laboratory results (not billed by the clinic or physician) are documented or reviewed and counted as data elements for determining the E/M level of medical decision making (MDM) for all E/M office codes (99202-99205, 99212-99215). The patient returns a month later and is seen by a different physician in the same specialty and clinic. May this second physician count data elements for review and assessment of the laboratory results regarding the patients current condition as an element of MDM?

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