General Surgery Coding Alert - 2019 Issue 7
News You Can Use: Prepare for Big CPT® E/M Changes Heading Your Way
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Article Overview
This article explains a set of anticipated CPT evaluation and management updates that were being discussed for future implementation. It is aimed at coders, billers, and compliance staff who need to understand how office and outpatient E/M documentation, selection methods, time concepts, and guideline structure were expected to change, along with the broader relationship between CPT and Medicare-aligned guidance.
Why This Topic Matters
These updates affect how E/M services are documented, interpreted, and prepared for in workflows and electronic health records. Understanding the scope of the pending revisions helps coding teams plan training and monitor future official guidance.
Article Sections
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Overview of upcoming E/M revisions
Introduces the general context for anticipated changes to evaluation and management services and the timing discussed in the article.
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Deletion of 99201
Covers the planned removal of a specific office and outpatient visit code for new patients.
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History, exam components, and MDM revisions
Discusses proposed changes to how office and outpatient E/M levels are supported by documentation elements and medical decision-making terminology.
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Time-based selection changes
Summarizes the shift toward revised encounter-time language and the broader implications for time-based reporting.
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Guideline restructuring
Describes the planned reorganization of E/M guidelines into distinct sections for different service categories.
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Coding caution and preparation
Notes that the changes were still pending finalization and highlights the need for education, documentation review, and monitoring of official updates.
What You Will Learn
- The overall scope of the anticipated CPT E/M updates
- How office and outpatient E/M documentation was expected to be affected
- What categories of guideline restructuring were discussed
- Why coding teams were being advised to prepare for future E/M workflow changes
- How CPT and Medicare-aligned guidance were presented as related but distinct
Who Should Read This
- Medical coders
- Coding managers
- Compliance staff
- Physician office staff
- Practice administrators
- Clinical documentation improvement teams
Codes Discussed
Code Ranges Discussed
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