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tci General Surgery Coding Alert - 2004 Issue 11
Select 99455-99456 - Not E/Ms - for WC Evaluations
If your surgeon evaluates a patient for a workers' compensation claim, you should turn to codes 99455-99456 rather than E/M services such as outpatient consults (99241-99245) or office visits (99201-99215). The surgeon most often performs a baseline for disability certification or to establish the patient's percentage of disability related to body injuries or disease. CPT allows two codes for this service:99455 - Work-related or medical disability examination by the treating physician that includes: - completion of a medical history commensurate with the patient's condition; - performance of an examination commensurate with the patient's condition ...
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