« How to talk to your ... | Main | COVID-19 is causing ... »

Monday Jan 04, 2021

What’s new with E/M coding? This chart can help you remember

The most consequential changes to office/outpatient evaluation and management (E/M) coding in more than two decades took effect Jan. 1. Physicians and other qualified health professionals will now be able to level visits based solely on either medical decision making (MDM) or total time. The ways MDM and total time are calculated have changed somewhat, and will probably take some getting used to, but the good news is that the supporting documentation burden should be lower. Here’s a chart that can help you quickly remember what’s new this year compared with last year:

YEARCODING WITH MEDICAL DECiSION MAKINGCODING WITH TIMEHISTORY & EXAM
YEAR: 2021CODING WITH MEDICAL DECiSION MAKING:

• Number and complexity of problems addressed

• Amount and/or complexity of data to be reviewed and analyzed

• Risk of complications and/or morbidity or mortality

CODING WITH TIME:

• Total time (including non-face-to-face time) on date of visit; can be used for any visit

HISTORY & EXAM:

• Only required as medically appropriate and not part of code level selection

YEAR: 2020CODING WITH MEDICAL DECiSION MAKING:

• Number of diagnoses or management options

• Amount and/or complexity of data to be reviewed

• Risk of complications and/or morbidity or mortality

CODING WITH TIME:

• Typical time face-to-face; only used when counseling and/or coordination of care dominate encounter

HISTORY & EXAM:

• Key elements in selection of level of service


For more on the coding changes, see the following FPM articles:

Watch for an article on coding level 4 visits, specifically, in the upcoming January/February issue of FPM.

Insightful, quick-read tips delivered straight to your inbox

Sign up to receive FPM's free, weekly e-newsletter, "Quick Tips & Insights," filled with practical, peer-reviewed advice you can put to work right now to improve patient care, streamline your day, get properly reimbursed, and improve career satisfaction.


Posted at 11:30PM Jan 04, 2021 by FPM Editors

« How to talk to your ... | Main | COVID-19 is causing ... »


CURRENT ISSUE

RECENT POSTS

SEARCH THIS BLOG


TOPICS

DISCLAIMER

The views expressed here do not necessarily reflect the opinions of the AAFP. All comments are moderated and will be removed if they violate our Terms of Use.

FEEDS