AMA CPT® Assistant - 2020 Issue 12 (December)

Frequently Asked Questions (December 2020)

December 2020 page 11 Frequently Asked Questions Evaluation and Management (E/M): Office or Other Outpatient Services Question: With the deletion of code 99201 in the Current Procedural Terminology (CPT®) 2021 code set, does this mean that services less than 15 minutes can no longer be reported for new patients? Answer: For CPT 2021, E/M services of 15 minutes or less for new patients should be reported using E/M office or other outpatient code 99202, which is selected based on the level of medical decision making (MDM) involved in the encounter. Question: In 2021, what criteria will be used...

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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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