tci E/M Coding Alert - 2021 Issue Q3

Reader Questions: Use One Bullet for Test Order and Review

Question: I am still getting used to the new rules for office/outpatient evaluation and management (E/M) services. For medical decision making (MDM) coding, should you count the order and review of a unique test as one bullet or two? Michigan Subscriber Answer: Though the new guidelines for ordering, reviewing, and/or interpreting tests are still a little unclear, CPT® does state that “ordering a test is included in the category of test result(s) and the review of the test result is part of the encounter and not a subsequent encounter.” This seems to suggest that both ordering and...

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