BC Advantage - 2020 Issue 7

Medical Necessity, MDM, and 2021 E/M Changes

By now everyone has heard that we will no longer have to score history and exam components to determine an E&M code level for the office/outpatient CPT codes 99202-99215, beginning January 1, 2021. Instead, we will use new methods for determining the level of service based on either time or MDM.Let's take a step back and think about what is not changing: medical necessity.The term "medical necessity" does not appear in the AMA's CPT 2021 E&M changes document, so why do we care? Because the Social Security Act and the Medicare Claims Processing Manual...

To read the full article, sign in and subscribe to BC Advantage.

Access to this feature is available in the following products:
  • BC Advantage, 30+ CEUs & Webinars

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.