The new 2021 E/M coding guidelines has been announced.
You no longer must use patient history, examination, and medical decision making to choose the level of service, according to the new 2021 E/M coding guidelines. Instead, each code level simply requires “a medically appropriate history and/or examination.” Then, you’d choose the appropriate level code based on time or MDM.
One thing hasn’t changed:
You must meet the requirements for two of the three elements. It’s
how you achieve those requirements that’s different
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