AMA CPT® Assistant - 2021 Issue 1 (January)
Frequently Asked Questions (January 2021)
January 2021 page 12 Frequently Asked Questions Evaluation and Management: Office or Other Outpatient Services Question: Regarding the Current Procedural Terminology (CPT®) 2021 code set, will code 99211 be available to report an office visit performed by a nurse? Answer: Yes, CPT code 99211, Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal, will still be available for reporting an office visit performed by a nurse or clinical staff in 2021, which...
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Article Overview
This January 2021 FAQ article addresses a set of coding questions for CPT 2021 and related CMS guidance. It covers office and outpatient evaluation and management topics, telehealth reporting, prolonged services, and selected surgery questions from respiratory, digestive, and nervous system sections. The article is aimed at coding professionals who need to understand how the guidance applies across different code sets and payer contexts.
Why This Topic Matters
It helps coders, billers, and compliance teams identify the relevant 2021 guidance affecting common outpatient and surgical reporting situations without relying on the full premium text.
Article Sections
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Evaluation and Management: Office or Other Outpatient Services
Questions and answers addressing office and outpatient E/M reporting in the 2021 CPT code set, including telehealth and documentation concepts tied to MDM and time.
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Evaluation and Management: Prolonged Services
Guidance on prolonged office or outpatient E/M reporting and the interaction between CPT and CMS approaches in the 2021 environment.
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Surgery: Respiratory System
Questions covering nasal and sinus-related surgical reporting scenarios within the respiratory system surgery section.
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Surgery: Digestive System
A surgical coding question involving liver lesion ablation within the digestive system section.
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Surgery: Nervous System
Questions about nerve repair, ultrasound guidance, unlisted procedure reporting, and postoperative pain management procedures in the nervous system section.
What You Will Learn
- How the article frames 2021 office and outpatient E/M topics
- What kinds of telehealth and prolonged service questions are discussed
- Which broad surgical specialties are covered in the FAQ
- How the article approaches situations involving unlisted procedures and related reporting considerations
- What general CMS and CPT guidance themes are compared in the article
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Practice managers
- Physician documentation teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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