tci E/M Coding Alert - 2021 Issue Q1

News You Can Use: Get Your First Look at the New Medicare Prolonged/ Complex Service Codes

Learn the pros and cons of G2211 and G2212. Thanks to the Centers for Medicare & Medicaid Services’ (CMS’) 2021 Physician Fee Schedule (PFS) final rule, you’ll have two new HCPCS codes to use when you bill Medicare for prolonged or complex E/M visits this year. While that may seem like good news, each one presents its own challenge that may could affect your E/M coding negatively in 2021. So, we examined them to see what impact they could have, and here’s what we discovered. G2211 Pros … On the surface, G2211 (Visit complexity inherent to...

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