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E/M Coding and the Documentation Guidelines: Putting It All Together

The AMA's Current Procedural Terminology (CPT®) code set for 2021 includes 329 changes with 206 additions, 54 deletions, and 69 revisions. Reduce denials when you understand what changes impact your specialty. This course will help you keep the practice reimbursement on track in the New Year.

The most impactful changes in over 25 years are to the E/M section; specifically for the office/outpatient visits (current code range 99201-99215). CPT® code 99201 has been deleted for 2021 and new guidelines will now be utilized to determine the level of visit for code range 99202-99215. The new guidelines require that a medically appropriate history and physical examination be performed and documented for this code range only. However, these two components will no longer be used in determining code level selection. The AMA, CMS, and other organizational workgroups involved developed the new guidelines to reduce burdens on physicians and other providers, and to capture information in a way that better represents the clinical environment.

Other E/M codes that are currently based on the 3 key components, the guidelines will remain intact and utilized for arriving at the level of the visit under the 1995 or 1997 Documentation Guidelines. Therefore, individuals working within the industry must understand more than one set of guidelines for the E/M section on January 1, 2021.

Class Highlights:

  • Changes for the Prolonged Services section of codes will be explained, including a new table: Comparison of Prolonged Services and new code 99417.
  • Six new codes have been added to report online digital evaluation services (e-visits). These codes for patient-initiated digital communication appear in both the E/M section and Medicine section.
  • Two new codes will report self-measured blood pressure monitoring. Additional changes include new codes for health and behavior assessment and intervention services.
  • Enhancements to codes that report long-term electroencephalographic (EEG) monitoring services with four deleted codes and 23 new codes to provide greater clarity when billing for these services.
  • Learn to effectively navigate through the revisions to the updated code set for your specialty
  • Enhance your understanding of 2021 CPT code changes and guidelines including the new AMA COVID-19-related codes
  • Receive coding guidance for current cutting-edge technology procedures

View the full course description here.

Target Audience

This course is appropriate for providers, clinical, and practice staff involved in diagnostic and procedural coding. Beginning and certified coders alike will benefit from this course. Consultants and office managers are also encouraged to attend.

Full Schedule

Program times are Central unless otherwise noted.

SessionDate TimeInstructor
1July 15, 202109:00-12:00Linda D'Spain
Fee: $199.00Register

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