Recorded October 31, 2019 This content is no longer current Let’s compare the current medical decision-making rules with the CPT changed rules for 2021 for codes 99202—99215. The existing rules and the revised rules are similar enough to be confusing, and different enough to require practice. For October’s webinar, we will look at the MDM […]
Archives for September 2019
Can We Bill an E/M Service with a Scheduled Endoscopy?
Question: Can we charge an E/M service when we do a scheduled endoscopy to account for the cost of nursing staff, supplies, pre- and post- care of the patient in the suite? We use place of service office, and I know we can’t charge a facility fee. Many of our commercial payers pay the same […]
An Overview of the Revised MDM
Medical Decision Making: selecting the correct level of service for codes 99202—99215:  E/M codes 99202—99215 have a changed definition of MDM The new MDM chart is similar to the current table of risk, but with significant changes, particularly in data Finally! Definitions of key terms in MDM The AMA is working on changing the documentation […]
E/M Changes in 2021 for 99202-99215 | Overview
It’s here! New definitions for codes 99202–99215 Clinicians can select new and established patient visit based on time or medical decision making (MDM) New guidelines for using time for 99202—99215, and revised definitions for MDM The American Medical Association (AMA) CPT® panel changed the definitions, and CMS is in agreement with these. The changes below […]
E/M Services – History and Exam
History and exam for E/M services “E/M Codes that have levels of services include a medically appropriate history and/or physical examination when performed. The nature and extent of the history and/or physical examination is determined by the treating physician or other qualified healthcare professional reporting the service. The care team may collect information and the […]
Time: Using Time for Office Visits
Using time to select a level of service for office visit codes 99202—99215 Total practitioner time on the date of service can be used to select one of these codes. Counseling and/or coordination of care no longer needs to dominate the service. See also When to use time to select an office visit code using the […]