e/m changes

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    Wiki What element level of MDM would a specialist referral fall under 2021 E/M Guidelines?

    Our PCP providers would like to consider a referral to a specialist as a LOW RISK under column 3 of the 2021 E/M table for Risk of Complications and/or Morbidity or Mortality of Patient Management. In comparison to Box A. of the 2020 & earlier E/M table and guidelines, whether a condition was...
  2. H

    Wiki Specificity for New E/M changes 2021

    How specific do providers need to be in there plan for these new changes? My providers are listing the patients diagnoses then underneath that they list there "plan." In the plan they will list continue viibryd for depression or continue Adderall for ADHD. In there diagnoses list they list major...
  3. T

    Wiki Time based E/M for Wound Care

    My Podiatrist is wanting to do time based billing on his Wound Care patients. These patients are mostly seen by nursing staff because they are just dressing changes. I have explained that you can not count the time spent by ancillary staff but he is not listening. Also, I was under the...
  4. J

    Wiki Changes to Consult Codes 99241-99245 In 2021?

    So they are changing the way outpatient E/M coding is in 2021, deleting the 99201 and only requiring the codes to be reported based on time or MDM, however I have not seen any mention of things changing for the consult codes. Seems odd considering the codes follow the same general principals. On...
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    Wiki 2021 E/M Changes - Will Medicaid Follow The New Guidelines?

    Hello! Has anyone heard from their Medicaid carrier if they are going to follow the 2021 E/M guidelines? I have checked on the CMS.gov website and on my local Medicaid DHS website and see nothing about this in their bulletins or FAQs. Thank you!
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