CPT® 2021: Expect 3-Prong Approach to E/M Down the Line

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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 discusses a proposed CPT update to evaluation and management guidance and how the restructuring is expected to affect office and other E/M documentation practices. It is aimed at coding professionals, compliance staff, and clinicians who follow CPT and Medicare-related guidance. The piece summarizes the broad areas being reorganized, notes timing considerations, and includes expert commentary on how organizations may prepare.

Why This Topic Matters

The article helps readers understand an upcoming CPT structural change that could affect E/M documentation, template design, and code selection workflows. It is relevant for practices that need to align coding education and EHR processes with evolving CPT and payer guidance.

Article Sections

  1. CPT Redesigns E/M Guidelines

    This section outlines the planned reorganization of evaluation and management guidance within the CPT manual. It summarizes the major guideline groupings affected by the update and includes expert reactions to the change.

  2. Look for Early Release

    This section addresses the timing of the planned update and the possibility of earlier implementation. It also discusses preparation steps and coordination with broader payer and documentation changes.

What You Will Learn

  • How CPT is expected to reorganize evaluation and management guidance
  • Which broad E/M service groups are included in the planned restructuring
  • Why documentation and EHR templates may need review before the update takes effect
  • How the article frames timing and coordination with payer guidance

Who Should Read This

  • Medical coders
  • Coding auditors
  • Compliance professionals
  • Physician practice administrators
  • Clinicians who document E/M services
  • Revenue cycle staff

Codes Discussed

  • CPT: 99202
  • CPT: 99215

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