Outpatient Facility Coding Alert - 2019 Issue 7
E/M Coding: See What’s Ahead for E/M in 2021
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Article Overview
This article previews proposed and anticipated changes affecting office and outpatient evaluation and management coding, including updates discussed by CPT editorial actions and related Medicare fee schedule developments. It is intended for coders, billers, compliance staff, and clinicians who need to follow upcoming E/M documentation and code-selection changes. The discussion focuses on broad categories of revision, such as code deletions, terminology updates, and time-based reporting concepts.
Why This Topic Matters
The piece helps readers understand which parts of E/M coding are likely to change and why those changes may affect documentation, audit review, and code selection workflows.
Article Sections
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Farewell to Low-level E/M Code 99201
Introduces a proposed office/outpatient E/M code deletion and discusses its expected effect on existing coding practices.
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Expect History, Exam Component Removal, and MDM Revisions
Summarizes broader planned revisions to office visit code selection, including changes to the role of history, examination, and medical decision-making terminology.
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Look for ‘Time’ Changes in the Future
Covers anticipated updates related to time-based selection for E/M services and the shift in wording used in code descriptors.
What You Will Learn
- How upcoming E/M revisions are expected to affect office and outpatient coding
- What types of documentation concepts are being emphasized in the updated guidance
- How the article frames the relationship between CPT editorial action and Medicare payment policy
- What broad changes are being discussed for time-based and medical decision-making-based reporting
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Revenue cycle professionals
- Physician practices
- Clinicians involved in documentation
Codes Discussed
Code Ranges Discussed
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