New for 2020: Suite of CPT codes cover digital, patient-initiated E/M services

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

Article Overview

This article covers a 2020 CPT update affecting digital, patient-initiated evaluation and management services for established patients. It explains the general scope of the new service category, the types of providers involved, documentation themes, and related considerations for coding professionals working with communications-based care.

Why This Topic Matters

It helps coders, auditors, and clinical documentation teams understand a new category of CPT reporting that affects how digital patient communications are classified and documented.

Article Sections

  1. New digital E/M services effective Jan. 1, 2020

    Introduces the new patient-initiated digital E/M service category and notes the effective date and general service setting.

  2. How the services are initiated and who may report them

    Describes the communication channels used for these services and the patient eligibility and provider scope considerations discussed in the article.

  3. Shore up your documentation

    Reviews the documentation themes associated with the new digital E/M services, including assessment, management, and time reporting concepts.

  4. Additional codes and considerations

    Covers related reporting considerations for communications that do not meet the service criteria and the parallel code family for qualified non-physician professionals.

  5. Coding case scenario

    Presents a sample scenario used to illustrate application of the new digital E/M coding concepts.

What You Will Learn

  • What the 2020 digital patient-initiated E/M service update covers
  • Which general provider types are addressed by the article
  • What kinds of documentation themes are discussed for these services
  • How the article frames related reporting considerations for digital communications
  • How the article uses a case scenario to illustrate the new guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician practices
  • Compliance staff
  • Billing professionals
  • Clinical documentation staff

Codes Discussed

Code Ranges Discussed


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