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.
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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.