Countdown to 2021: Will You Choose Time or MDM for Your 2021 E/Ms? Here’s How to Decide.

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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 premium article walks through a case-based discussion of 2021 office and outpatient evaluation and management reporting, comparing time-based selection with medical decision making. It is written for coding professionals, revenue cycle staff, and clinicians who need to understand how the revised approach affects service-level selection and related diagnosis reporting.

Why This Topic Matters

Choosing the appropriate E/M selection method affects both coding accuracy and reimbursement. The article helps readers understand the broader decision context so they can assess whether the time-based or MDM-based approach is relevant to their own workflows.

Article Sections

  1. The Case

    Introduces the patient scenario used to frame the discussion of 2021 office/outpatient E/M reporting. The section presents the clinical context and documentation elements reviewed in the encounter.

  2. E/M Coding by Time

    Discusses the time-based approach to selecting the office/outpatient E/M service level for the encounter. It contrasts the case timing with the broader 2021 reporting framework.

  3. E/M Coding by MDM

    Discusses the medical decision making approach to selecting the office/outpatient E/M service level for the encounter. The section compares the case’s complexity with the 2021 framework for office/outpatient services.

  4. ICD-10 Coding

    Addresses diagnosis coding considerations associated with the encounter and emphasizes the importance of accurate ICD-10 reporting alongside E/M selection. The section presents diagnosis coding in the context of the case discussion.

What You Will Learn

  • How the 2021 office/outpatient E/M framework uses time and medical decision making
  • How a case-based example can help compare E/M selection approaches
  • Why diagnosis coding remains important when reporting an E/M visit
  • How documentation review and care coordination fit into E/M reporting discussions

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Physician practices
  • Clinicians involved in documentation and billing

Codes Discussed


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