ED Coding & Reimbursement Alert - 2020 Issue 10
CPT® 2021 Revisions: Get Ready for These 2021 CPT® E/M Revisions
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Article Overview
This article explains the 2021 CPT evaluation and management revisions, with emphasis on office and outpatient visit coding, time-based reporting changes, prolonged service reporting, and updates to chronic care management and complex chronic care management. It is intended for coders, billing staff, and compliance professionals who need a high-level understanding of the upcoming CPT changes and the general areas of impact.
Why This Topic Matters
The 2021 CPT revisions change how several commonly used E/M services are structured and reported, so practices need to understand the scope of the updates before they take effect. The article helps readers identify which service categories are affected and where documentation and reporting workflows may need review.
Article Sections
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99202-99215 Revisions Remain on Track
Overview of the planned office and outpatient E/M revisions and related time-based reporting changes for new and established patient visits. Also discusses general documentation considerations and the shift in how encounter time is framed.
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Revisions Also Affect CCM, Complex CCM
Summary of changes affecting chronic care management and complex chronic care management reporting. Includes the broader topic of calendar-month time accounting and related care plan documentation updates.
What You Will Learn
- Which major CPT E/M service categories are changing for 2021
- How the article frames the shift toward time-based reporting concepts
- What types of chronic care management services are affected by the revisions
- Which areas of outpatient coding are highlighted for review before the effective date
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance professionals
- Physician offices and outpatient practices
Codes Discussed
Code Ranges Discussed
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