Reader Questions: Calculate Time for Office E/M in 2021

Why This Topic Matters

The article helps readers understand that time-based E/M reporting can be interpreted differently depending on payer or guidance source, which can affect code selection and compliance for office visits.

Article Sections

1. Question

   A reader asks about counting time before and after an office visit when selecting an E/M level in 2021.

2. Answer

   The response addresses whether time outside the face-to-face encounter may be considered under certain circumstances.

3. Basics

   This section summarizes the 2021 shift in office/outpatient E/M reporting and the general move to time-based selection.

4. CPT® versus CMS

   This section contrasts AMA training language with CMS discussion in the 2021 Physician Fee Schedule proposed rule.

5. Bottom line

   The closing note emphasizes that payer guidance may differ and that additional clarification was expected later in the rulemaking process.