Update E/M 2021: Focus on MDM and Time Next Year

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews the 2021 CPT update for office and outpatient evaluation and management services. It is aimed at physicians, surgeons, coders, and other billing professionals who need to understand how the office visit code set changes, how the role of medical decision making shifts, how total time is counted, and what documentation concepts are emphasized in the updated guidance.

Why This Topic Matters

The 2021 E/M revisions affect how office and outpatient visits are documented, selected, and audited. Understanding the update helps practices adjust workflows and records for compliant code selection under the revised CPT framework.

Article Sections

  1. Code changes for office and outpatient E/M

    Introduces the 2021 changes to office and outpatient evaluation and management services and the overall shift in code selection criteria.

  2. See How MDM’s Importance Changes

    Explains the changed relationship between medical decision making and the office/outpatient E/M code set for 2021.

  3. Brace for Time Change, Too

    Describes the revised role of time in selecting office and outpatient E/M services and the updated time-based framework.

  4. Count these activities in 2021

    Summarizes the categories of work that contribute to total time under the updated guidance.

  5. Time-Based Example

    Presents an illustrative office/outpatient scenario showing how the updated guidance applies in a clinical setting.

What You Will Learn

  • How the 2021 office and outpatient E/M framework changes the basis for code selection
  • How medical decision making is emphasized in the updated office visit structure
  • How total time is described and measured under the revised guidance
  • What broad types of work may be included in time-based selection
  • How the article frames documentation expectations for the revised office visit reporting process

Who Should Read This

  • Physicians
  • Surgeons
  • Medical coders
  • Billing professionals
  • Compliance staff
  • Practice managers

Codes Discussed

Code Ranges Discussed

  • CPT: 99202 THROUGH 99215

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