ED Coding & Reimbursement Alert - 2020 Issue 11
CPT® 2021 Revisions Also Affect CCM, Complex CCM
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Article Overview
This article explains a set of CPT® 2021 revisions related to chronic care management and complex chronic care management. It is intended for coding professionals, billers, and clinicians who report these services and need to understand the scope of the year-over-year changes, the affected CPT® code set, and the documentation and timing themes discussed in the update.
Why This Topic Matters
Changes to time-based reporting and documentation language can affect how chronic care management services are captured and billed. Readers who work with outpatient management coding will want to know which CPT® provisions were revised for 2021 and how the article frames those updates.
Article Sections
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Overview of 2021 CCM revisions
Introduces the 2021 CPT® changes affecting chronic care management reporting and explains the general purpose of the update.
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Changes affecting chronic care management timing
Describes the revised timing framework for chronic care management service reporting and the addition of an associated CPT® code.
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Changes affecting complex chronic care management documentation
Summarizes the revisions tied to complex chronic care management, including the updated time-based language and documentation focus.
What You Will Learn
- Which CPT® 2021 revisions are discussed in the article
- What broad reporting areas are affected by the update
- How the article characterizes the documentation focus for complex chronic care management
- Who should pay attention to the changes in this CPT® update
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Clinicians documenting chronic care management services
Codes Discussed
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