2021 E/M Visit CPT codes (New versus Established Patient)

New Patient (99201 has been deleted. To report, use 99202) 99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making.When using time for code selection, 15-29 minutes of total time is spent on the date ofthe encounter.  … Read more

2021 E/M coding changes for Medical coders

Reducing variation in MDM coding Components for code selection were narrowed down to two: medical decision-making (MDM) and total time on the day of the encounter. Elements of MDM affecting coding for an outpatient or office visit include: The number and complexity of problems addressed in the encounter, meaning it will no longer be necessary … Read more

Superb Coding tips for Subsequent Encounters and Fracture coding

Superb Coding tips for Subsequent Encounters and Fracture coding

From the time ICD 10 codes have been implemented, coders are facing lot of issues with new diagnosis codes. Injury codes in ICD 10 are still creating problems for coders. For non-traumatic or pathological fractures, we have discussed previously. But for traumatic fracture coding, medical coders are still having lot of confusion. The initial, subsequent … Read more

2021 updates for Prolonged services CPT codes

In 2021, there will be two sets of time rules that govern E/M services, one set for office/outpatient codes 99202—99215, and one set for hospital, observation, ED, nursing facility, home, and domiciliary care services. When selecting an office visit code, the clinician may use either the new medical decision making definitions, or total time spent … Read more

Finally AMA releases 2021 E/M CPT code set

American Medical Association has released the 2021 E/M CPT code set which includes major changes in 2021 Current Procedural Terminology (CPT). This will simplify coding and documentation of office visits and other outpatient evaluation and management (E/M) services. The AMA described the changes to the CPT codes as the “first major overhaul in more than … Read more

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