tci General Surgery Coding Alert - 2021 Issue Q3

Reader Questions: Recognize Different MDM Tables

Question: Can we use examples from the Table of Risk currently provided by the Centers for Medicare & Medicaid Services (CMS) to determine E/M level for the new office and outpatient codes 99202-99215? AAPC Forum Subscriber Answer: You should use the Elements of Medical Decision Making (MDM) table in the 2021 CPT® Manual for codes 99202-99205 and 99212-99215 (Office or other outpatient visit for the evaluation and management of a new/established patient …) rather than the CMS Table of Risk. When CPT® revised 99202-99215, all the other E/M services remained unchanged. That meant the CPT® E/M guidelines contained...

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