E/M in 2021: Tips and Tricks for Coding and Documentation Under the New Guidelines-E/m in 2021

Video Transcription

Video Summary

The 2021 Office E&M Documentation Guidelines have undergone significant changes to reduce the burden on physicians. The new guidelines allow physicians to select their level of E&M service based on either time or medical decision making. The guidelines provide detailed definitions for the elements and terms used in the new guidelines.<br /><br />Some key changes include the elimination of the 99201 code, clarification of time thresholds for different E&M levels, and clear guidance on when comorbidities can be counted for medical decision making. The guidelines also provide definitions for elements of medical decision making to help physicians understand how to use them.<br /><br />The guidelines emphasize the importance of proper and compliant MDM language, clear documentation of time spent, and proper use of modifiers for billing purposes. They also introduce a new code, G2212, for visit complexity inherent to E&M services.<br /><br />It is important for physicians to familiarize themselves with the new guidelines and understand how they will impact their practice. The guidelines go into effect on January 1, 2021, and will be accepted by all payers. Physicians can reach out for further clarification or questions regarding the new guidelines.

Keywords

2021 Office E&M Documentation Guidelines

physicians

burden reduction

E&M service

time

medical decision making

elimination of 99201 code

time thresholds

comorbidities

MDM language