New for CY 2020: CPT codes for digital, patient-initiated E/M services

December 3rd, 2019

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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 the 2020 CPT updates for patient-initiated digital evaluation and management services and the related documentation and reporting context. It is written for coding professionals, clinicians, and revenue cycle staff who need to understand the scope of the new service categories, the types of providers affected, and the general considerations that affect reporting. The discussion also includes a brief case scenario to illustrate how the guidance is applied.

Why This Topic Matters

These code updates affect how certain digital patient communications are documented and reported, making them important for compliant E/M coding and for practices that use patient portals or other secure electronic communication tools.

Article Sections

  1. Introduction

    Overview of the 2020 update and the general type of E/M services addressed in the article.

  2. Documentation considerations

    General documentation expectations for the digital service categories, including the kinds of clinician review and time tracking discussed in the article.

  3. Additional codes and coding considerations

    Broader reporting considerations for other qualified professionals and a summary of the related documentation framework.

  4. Coding case scenario

    A sample case is presented to illustrate application of the article’s guidance in a practical setting.

What You Will Learn

  • What the 2020 digital patient-initiated E/M service update covers
  • Which types of providers are discussed in connection with the new reporting categories
  • What general documentation elements are emphasized for these services
  • How the article frames related reporting considerations for follow-up communication scenarios
  • How the included case scenario is used to demonstrate the guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician practices
  • Clinic administrators
  • Revenue cycle staff
  • Clinicians who document patient-initiated digital communications

Codes Discussed

  • CPT: 99421
  • CPT: 99422
  • CPT: 99423
  • CPT: 98970
  • CPT: 98971
  • CPT: 98972

Code Ranges Discussed

  • CPT: 99421-99423

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