ED Coding & Reimbursement Alert - 2020 Issue 12
CPT® 2021: Answer 3 Questions to Test Your E/M 2021 Coding Preparedness
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Article Overview
This premium article is aimed at coders and billing staff who need to understand the CPT® 2021 update for office and other outpatient evaluation and management services. It explains the scope of the changes, how the time framework was updated, and how the new CPT® guidance relates to documentation practices. The piece is useful for anyone preparing to code E/M visits under the 2021 rules and comparing them with prior documentation approaches.
Why This Topic Matters
Understanding the 2021 E/M update is important because it affects how common outpatient visits are reported and documented. The article helps readers orient themselves to the revised framework and the supporting guidance so they can assess readiness for the new requirements.
Article Sections
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Question 1: Which Codes are Impacted?
Introduces the outpatient E/M code family affected by the 2021 update and frames the main categories of changes being reviewed.
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Answer 1: Just Office or Other Outpatient
Summarizes which outpatient E/M codes are within scope, along with the broad types of revisions, deletions, and additions discussed in the article.
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Question 2: How Does ‘Time’ Change in 2021?
Focuses on the role of time in selecting office or other outpatient E/M services and the reporting of extended visits.
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Answer 2: All of the Above
Explains the broader time-based reporting framework for outpatient E/M services and introduces the new add-on service discussed in the article.
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Question 3: Should We Use 95 or 97 Documentation Guidelines?
Raises the issue of documentation guidance and how practitioners should think about the older E/M guideline resources in light of the 2021 changes.
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Answer 3: Maybe Just CPT® Guidelines
Discusses the CPT® guidance framework and its relationship to documentation expectations for the updated outpatient E/M services.
What You Will Learn
- Which broad office and other outpatient E/M services are affected by the CPT® 2021 update
- How the article frames changes to time-based reporting for outpatient E/M visits
- How extended office/outpatient E/M services are discussed in the 2021 framework
- How the article compares CPT® guidance with older documentation guideline resources
- What kinds of documentation topics are addressed in the updated E/M guidance
Who Should Read This
- Medical coders
- Billing staff
- General surgery coding professionals
- E/M documentation specialists
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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