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Do I report CPT codes 99455-99456 when performing treatment of a work-related injury/problem?

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CPT codes 99455-99456, Work Related or Medical Disability Evaluation Services, only represent the evaluation necessary to complete forms. When the sole purpose of the encounter is to provide active management and/or treatment of the work-related injury/problem, report the appropriate E/M service code. Our OB/GYN physicians want to know what constitutes a “simple” or “extensive” procedure for codes 56501, destruction of lesion(s), vulva; simple; and 56515, destruction of lesion(s), vulva; extensive. What is the guideline for this? Simple is a single, simple destruction. Extensive is multiple or complicated destruction. The determination of whether the destruction is simple versus extensive is based on physician discretion. The physician should state within his or her documentation whether or not the destruction of such a lesion was felt to be simple or extensive. more
wisconsinmedicalsociety.org
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CPT codes 99455-99456, Work Related or Medical Disability Evaluation Services, only represent the evaluation necessary to complete forms. When the sole purpose of the encounter is to provide active management and/or treatment of the work-related injury/problem, report the appropriate E/M service code.Our OB/GYN physicians want to know what constitutes a “simple” or “extensive” procedure for codes 56501, destruction of lesion(s), vulva; simple; and 56515, destruction of lesion(s), vulva; extensive. What is the guideline for this?Simple is a single, simple destruction. Extensive is multiple or complicated destruction. The determination of whether the destruction is simple versus extensive is based on physician discretion. The physician should state within his or her documentation whether or not the destruction of such a lesion was felt to be simple or extensive. more
wisconsinmedicalsociety.org

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