tci E/M Coding Alert - 2020 Issue Q3

Reader Questions: Will History, Exam Stay or Go in 2021? The Answer May Surprise You.

Question: Since history and exam will no longer be key components for determining the level of E/M codes 99202-99215 next year, does that mean our pulmonologists will no longer need to necessarily perform a history and exam? One of our physicians is convinced this is the case, but we are not so sure. New Mexico Subscriber Answer: The history and exam will still be important, and they are still needed elements — they just won’t be counted toward the E/M selected outpatient/office E/M level of service. When you look at the revised CPT® code descriptors for 99202-99215 (Office...

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