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2021 CPT E/M Guideline Definitions for Acute and Chronic Illnesses
Acute, uncomplicated illness or injury
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Samantha Mason, CPC
Recent Posts
September 2020
2021 E/M Changes to Outpatient Visits Part 3
September 2020
2021 E/M Changes to Outpatient Visits Part 2
Elements
In the past both history and exam have been required for code selection. With the new changes both history and exam will need to be documented but will not affect the code selection. There will be no minimum requirement, beyond establishing medical necessity and the standard of care. Providers will be able to select the E/M service level either by the level of medical decision making or by the total time spent performing the service on the day of the encounter.
Read MoreAugust 2020
2021 E/M Changes to Outpatient Visits Part 1
Per CMS: they have “established an internal process to evaluate and streamline regulations with a goal to reduce unnecessary burden, to increase efficiencies, and to improve the beneficiary experience. In carrying out this internal process CMS is moving the needle and removing regulatory obstacles that get in the way of providers spending time with patients.”
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