tci E/M Coding Alert - 2021 Issue Q3

Reader Questions: Don’t Use These MDM Tables Interchangeably

Question: Both the Elements of Medical Decision Making (MDM) table in the 2021 CPT®Manual and the Table of Risk currently provided by the Centers for Medicare & Medicaid Services (CMS) contain examples of presenting problems, tests, and patient management options. Can the examples in the CMS table be used for the new office/outpatient E/M codes? AAPC Forum Participant Answer: When CPT® revised office/outpatient evaluation and management (E/M) codes 99202-99215 (Office or other outpatient visit for the evaluation and management of a new/ established patient …), all the other E/M services remained unchanged. That meant the CPT® E/M...

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