DecisionHealth, DecisionHealth - 2020 Issue 9 (September)

E/M coding scenario: Work out new MDM rules for a 99214 encounter

For the first time in more than two decades, the E/M office visit code set (99202-99215) is subject to a coding and documentation overhaul. Starting Jan. 1, 2021, you’ll find that previously vital components of code level selection — namely, the history and exam components — no longer factor into your level of decision-making. Instead, determining a level of service will come down to one of two components: Medical decision-making (MDM) or time.

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