AHA Coding Clinic® for HCPCS - 2020 Issue 4; For Your Information

Evaluation and Management guideline changes for 2021

As a reminder, the American Medical Association (AMA) has released guidelines related to the upcoming changes to office visit evaluation and management (E/M) coding which will become effective on January 1, 2021. It is important to note that the changes effective January 1, 2021 pertain to physician reporting for office visits only and do not include Emergency Department (ED) E/M reporting. While these changes are specific to physician reporting and not outpatient facility reporting, they may impact each facility’s internal guidelines for hospital-based clinic E/M reporting. HCPCS code G0463, Hospital outpatient clinic visit for assessment and management of...

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