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CLINICAL LAB TESTS
 

 

Effective January 1, 2023, this information is no longer up-to-date. The material on this page covers only the 1995 and 1997 E/M guidelines and is no longer accurate. A new set of E/M guidelines was released in 2021, with some minor modifcations added for 2023. These new guidelines are now used to document all encounters in both the outpatient and inpatient settings. For the most recent E/M coding guidance, visit our home page here.

 

 

You only get ONE point for reviewing OR ordering lab tests (NOT one point for ordering AND one point for reviewing).

Lab tests refer to CPT codes 80002 - 89399 which include results of analysis of any specimen such as blood, urine, CSF, feces, synovial fluid, semen, etc.  These may include routine chemistry tests, CBC, hormonal assays, microbiologic cultures, cytogenetic studies, gross or microscopic pathology results, or evocative testing such as a cosyntropic stimulation test.

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