tci Outpatient Facility Coding Alert - 2014 Issue 12

Reader Question: Report 99455 or 99456 for Work Related Exams

Question: How do you code for a work related exam? Arkansas Subscriber Answer: There are two CPT® codes for a work related exam: one by the treating physician and another by the physician other than the treating physician. The first choice is 99455 (Work related or medical disability examination by the treating physician …) and the second is 99456 (Work related or medical disability examination by other than the treating physician …). Report the code that represents the physician you’re coding for. Both codes include the same elements related to the work involved: Completion of a...

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