E/M Coding Update: 2021

Big Changes Coming to E/M Coding in 2021

Did You Know?

• The AMA is releasing a brand new set of E/M coding guidelines, which be effectie January 1, 2021
• The E/M coding changes will apply only to new office patients and etablished office patients
• The 99201 level of care will be deleted
• There will be new time thresholds assigned to new and established office patients
• There will be a new definition of total time spent for selecting the level of care
• History and physical exam will NO LONGER AFFECT THE LEVEL OF CARE selected
• Code selection will be driven by time spent OR the medical decision making
• There will be a new table to calculate the medical decision-making
• The work RVUs assigned to new and established office visits will be inreasing
• There will be a combined G code for primary care and/or increased medical complexity
• There will be a new prolonged services code for each 15 minute increment of prolonged E/M services

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