tci General Surgery Coding Alert - 2020 Issue Q4

Reader Questions: Look for Time or MDM in 2021

Question: Will we have to base every E/M coding decision on only time and medical decision making in 2021? New Jersey Subscriber Answer: Beginning in calendar year (CY) 2021, you’ll report code range 99202-99215 (Office or other outpatient visit for the evaluation and management of a new/established patient …) exclusively based on either time or medical decision making (MDM). The 1995/1997 E/M guidelines will still apply to the remaining E/M subsections. Keep in mind: The new guidelines on time reporting will vary slightly from the current 50 percent threshold guidelines. As of 2021, counseling and coordination of...

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