Countdown to 2021: Learn How to Speak the Language of the 2021 MDM Changes

Why This Topic Matters

The article matters because the 2021 E/M updates changed how common office and outpatient visit levels are described and documented. Understanding the revised terminology helps coders and providers align notes with the updated CPT framework.

Article Sections

1. Dx/Management Options Becomes Complexity/Problems Addressed

   Introduces the first revised MDM element and discusses the broader documentation implications for office and outpatient E/M services. The section focuses on how providers may need to reflect clinical reasoning in the record.

2. New Guidance Specifies Review and Analysis of Data

   Summarizes the updated data component of MDM and outlines the broad categories of information considered under the 2021 framework. The section also distinguishes how the updated language relates to different levels of office and outpatient visits.

3. Mortality of Pt Management Included in MDM Component

   Covers the revised risk language in the MDM table and its relationship to patient management. The section discusses the general intent of aligning risk with the management decision process.