tci E/M Coding Alert - 2020 Issue Q3

Reader Questions: Evaluate This Question, Manage Your Answer for 2021 E/M Services

Question: Is it true that E/M coding for office and outpatient visits will be based on medical decision making (MDM) and time exclusively in 2021? New York Subscriber Answer: Yes, but both will not determine the level of outpatient E/M simultaneously. Beginning in calendar year (CY) 2021, you’ll report code range 99202-99215 (Office or other outpatient visit for the evaluation and management of a new/established patient …) exclusively based on either time or MDM. The 1995/1997 E/M guidelines will still apply to the remaining E/M subsections. Keep in mind: The new guidelines on time reporting will vary...

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