Reader Questions: Look for Time or MDM in 2021

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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 answers a reader question about 2021 evaluation and management coding changes for office and other outpatient visits. It explains the broad shift to reporting based on time or medical decision making, notes that other E/M subsections still follow the 1995/1997 guidelines, and highlights that time reporting and associated level selection information were being updated. It is relevant for coders, billers, and clinicians who code outpatient E/M services and want to understand the scope of the 2021 changes.

Why This Topic Matters

It helps readers quickly determine whether the article covers the 2021 E/M framework they need to follow for outpatient visit coding and whether related guidance applies beyond that setting.

What You Will Learn

  • How the 2021 office/outpatient E/M framework changes the basis for level selection
  • Which E/M subsections continue to use older guidelines
  • What general areas of time-reporting guidance are changing in 2021
  • Why coders should watch for further updates on E/M level selection guidance

Who Should Read This

  • Medical coders
  • Billers
  • Coding auditors
  • Physician practices
  • General surgery coding staff

Code Ranges Discussed


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