Overview of AMAs E&M Revisions for 2021

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the scope of the American Medical Association’s proposed 2021 updates to office/outpatient evaluation and management coding and why the changes matter to coders, auditors, and providers. It discusses the areas of revision at a high level, including changes to service selection criteria, documentation expectations, and supporting guideline structure, while comparing the AMA direction with related CMS activity. The piece is useful for readers tracking E&M policy updates and preparing for documentation and audit impacts.

Why This Topic Matters

E&M revisions can affect how office/outpatient visits are documented, selected, and audited. Understanding the direction of AMA and CMS changes helps coding professionals prepare for workflow and compliance updates.

Article Sections

  1. Overview of the 2021 E&M revisions

    Introduces the AMA and CMS activity affecting office/outpatient evaluation and management services for 2021. Summarizes the broad areas of change and the comment/reconsideration timeline.

  2. Deletion of 99201

    Discusses the removal of one low-level office/outpatient visit code and the general utilization-based rationale described by the article.

  3. Removing History and Exam As Key Components

    Covers the shift away from counting history and exam as principal service-selection elements and the broader documentation implications raised by the article.

What You Will Learn

  • The general purpose and timing of the AMA’s 2021 E&M revisions
  • Which broad parts of office/outpatient visit documentation are being revised
  • How the article frames the relationship between AMA and CMS E&M changes
  • Why coding and audit professionals should monitor the proposed guideline updates

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Physician practices
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed


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