BC Advantage - 2020 Issue 6

A Closer Look at 2021 Outpatient and Office E/M Coding

If you code evaluation and management (E/M) services, you've probably already heard that significant changes are ahead in 2021, specifically for office visits. The American Medical Association (AMA) - the creator of CPT® coding - will be changing the criteria to assign E/M codes to make the process more straightforward, while also considering the natural workflows already happening in day-to-day healthcare.There are two fundamental ways to code E/M office visits (using time or medical decision making) and that will not change. What will change is the face-to-face time requirements and the way medical decision making is assessed. This...

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