Providers,

Last year, there was talk that the entire E&M basis was going to be changed in the future. At that time, they decided to eliminate all levels of office visits and encompass all payment under one level. Providers obviously were dismayed at this option.

The AMA fought this and a new set of proposed rules is set to be active for 2021 with E&M coding.

Please find information on the new E&M code sets attached.

I will release new information as items develop and change.

Some highlights:

99201 will be deleted
You may use TIME or MEDICAL DECISION MAKING for the basis on selecting a code level
PFSH History or Exam will no longer be required

“Office or other outpatient 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 health care professional reporting the service. The care team may collect information and the patient or caregiver may supply information directly (eg, by portal or questionnaire) that is reviewed by the reporting physician or other qualified health care professional. The extent of history and physical examination is not an element in selection of office or other outpatient services.”

Find more info here: E&M Major Code changes for 2021