AMA CPT® Assistant - 2020 Issue 6 (June)

E/M Office or Other Outpatient Guidelines and Code Revisions for 2021: MDM—Part 2 (June 2020)

June 2020 pages 3-9 E/M Office or Other Outpatient Guidelines and Code Revisions for 2021: MDM—Part 2 For the Current Procedural Terminology (CPT®) 2021 code set, the office or other outpatient visit evaluation and management (E/M) guidelines and code descriptors will be significantly revised. The information given here is provided early to raise awareness of substantial changes to current coding practice. This article focuses on the changes in two of the three medical decision making (MDM) elements: (1) Amount and/or Complexity of Data to be Reviewed and Analyzed; and (2) Risk of Complications and/or Morbidity or Mortality of...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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