Did we talk? Physicians can count discussions that meet the new E/M definition

Why This Topic Matters

The topic affects how practices document and support E/M leveling in the wake of CPT guideline changes. Understanding the update helps teams improve compliance, align documentation with the current definition, and reduce risk when counting discussions toward visit scoring.

Article Sections

1. 2021 E/M office visits

   Introduces the E/M office visit context and the general issue addressed by the article. It frames the discussion within the 2021 CPT guideline update.

2. Four factors define a discussion

   Summarizes the broad categories used to determine whether a discussion meets the updated definition. The section focuses on the types of parties involved, the communication method, timing, and how the discussion relates to decision-making.

3. Reminders for clinicians and coders

   Offers general documentation and workflow reminders for practice staff. It also notes that coders should confirm payer-specific guidance and that discussions are limited in how they are counted.