Test Result Review Coding
I would like to know what CPT and ICD code to use in case of a visit for test result review.
Question: I would like to know what CPT and ICD code to use in case of a visit for test result review.
Answer: In most cases, payment for physician management decisions based on lab results are included in your fee under the medical decision-making component of an E&M service; it can’t be billed separately.
Now, if you are meeting the definition of an E&M visit, doing some HPI, review of systems, and medical decision making at that visit which is unique, you can bill the E&M. I suspect you are not doing all this, however. You are just telling the patient about the results.
Newsletter
Optimize your practice with the Physicians Practice newsletter, offering management pearls, leadership tips, and business strategies tailored for practice administrators and physicians of any specialty.
