DecisionHealth, DecisionHealth - 2021 Issue 4 (April)

Early E/M insights, Part I: Review guidance for reporting time-based encounters

The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live Jan. 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.

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