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How do you bill for PHQ9 assessment on the same day as an E&M code.

MelodyCPC

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Appleton Wisconsin
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In regard to the Complexity of Data -

My question is about the "*Each unique test, order, or document contributes to the combination of 2 or combination of 3 in Category 1"

What counts as a unique test or order?

For example:
At a patient encounter, physician places orders for TSH lab, Chlamydia lab, and FSH lab, UA lab - are these:
4 unique lab tests (TSH, FSH, UA, Chlamydia)
3 (urine, blood, swab) or
or just one because they are all labs?
 
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373
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Four- each test represented by one CPT code is counted separately. However, when a code represents multiple tests (e.g., lab tests described by a panel code), only one is counted. If you have a copy of the new guidelines, see the definition of test.

Best wishes,
Cindy
 

miugu

Networker
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Long Beach, New York
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Does it mean that if two separate blood tests are ordered, each having their own CPT code, you will automatically meet the Category 1 combination of 2 for Low Data section?

Or, if you ordered Urinalysis and EKG, do you meet the Category 1 combination of 2 for Low Data section?

Thank you!
Maiu
 
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Does it mean that if two separate blood tests are ordered, each having their own CPT code, you will automatically meet the Category 1 combination of 2 for Low Data section?

Or, if you ordered Urinalysis and EKG, do you meet the Category 1 combination of 2 for Low Data section?

Thank you!
Maiu
Yes. Ordering 2 distinct tests (each represented by a separate CPT and not a component of the other) meets the requirements for low amount/complexity of data. However, you cannot count any separately reportable test or study performed during the encounter. Cindy
 
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