tci Part B Insider - 2021 Issue Q1

Reader Question: Check DOS for Late December/Early January E/M Visits

Question: An established patient reports to the provider for an office E/M service. The provider performs a problem focused history and examination. The encounter also features straightforward medical decision making (MDM), and is extremely short: 8 minutes. How should I report this encounter? Iowa Subscriber Answer: It depends on the date of service (DOS) for the E/M encounter. The rules changed as of January 1, and you could code this a couple of different ways. The correct choice will hinge on the DOS. In 2020: If the encounter has a 2020 DOS, report 99201 (Office or other outpatient visit...

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