AMA CPT® Assistant - 2020 Issue 9 (September)

Prolonged E/M Services Revisions for 2021 (September 2020)

September 2020 pages 3-6 Prolonged E/M Services Revisions for 2021 For the Current Procedural Terminology (CPT®) 2021 code set, the guidelines and code descriptors for the evaluation and management (E/M) office or other outpatient visit services codes (99202-99215) have been significantly revised. The information included here is provided to raise awareness of the changes to current coding practice for those E/M codes that have been changed. This article reviews the appropriate use of a new, shortened prolonged service(s) code (99417), the effect on related and unrelated prolonged services codes, and the similarities and differences in the time definitions...

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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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