Miscellaneous services. Code 99025 [initial (new patient) visit when starred (*) surgical procedure constitutes major service at that visit] was deleted, due to the elimination of all starred procedures in CPT 2004. Thus, billing for an evaluation and management service on the same date as an office (minor) procedure will depend on the documentation. The evaluation and management service must be separate and significant from the office service. For global periods assigned to individual CPT procedures codes, coders should either reference the Medicare global periods or consult with their individual private payers, who may assign global days based on community standards.
A new instruction for 99080 [special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting form] indicates that this code should not be reported with the Work Related or Medical Disability Evaluation codes 99455 and 99456, since these codes include completion of Workmen’s Compensation forms.
Additional changes to this section include:
- 99024 Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure
- 99050 Services requested after posted office hours in addition to basic service