Together, the AMA and Centers for Medicare & Medicaid Services (CMS) have achieved the first overhaul of evaluation and management (E/M) office visit documentation and coding in almost 30 years. These landmark E/M office visit code changes deploy Jan. 1, 2021.
These revisions have the potential to significantly reduce physician burden and improve patient care. However, in order to properly implement these large-scale changes, active planning is critical. As the authoritative source on the CPT® code set, the AMA is committed to assisting the health care community transition with as little friction as possible.
Videos to guide you step-by-step
On Jan. 23, 2020, the CPT®/RUC Workgroup on E/M hosted a panel presentation to help the health care community hit the ground running when the E/M office visit documentation and coding changes deploy on Jan. 1, 2021.
How did we get here and what changes can you expect?
Chris Jagmin, MD, vice chair of the CPT® Editorial Panel, presents the history of the CPT®/RUC Workgroup on E/M and an overview of the revisions to the 2021 E/M office visit CPT® codes.
Using MDM criteria to document an office visit
Peter Hollmann, MD, co-chair of the CPT®/RUC Workgroup on E/M, elaborates on how to use the new medical decision making (MDM) criteria to select a level of service.
Using time to select a code level
Barbara Levy, MD, co-chair of the CPT®/RUC Workgroup on E/M, elaborates on how to select a code in the office or other outpatient setting using total time on the date of the encounter.
CPT® Evaluation and Management (E/M) revisions FAQs
Review questions and answers regarding Medical Decision Making (MDM), time and documentation not specifically covered in other CPT coding guidance, and find out how to apply to the 2021 guidelines.
Simplified Outpatient Documentation & Coding toolkit
Learn how to optimize documentation and coding strategies in just 4 STEPS. Download the toolkit.
