tci Medicare Compliance & Reimbursement - 2021 Issue Q3

Reader Questions: Understand the Differences Between These 2 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...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.