Medical Decision Making and Selection of the Appropriate Evaluation and Management (E/M) CPT Codes-Coding Video

Video Transcription

Video Summary

In this video, the speaker discusses the changes to the evaluation and management (E&M) coding system for 2021. The speaker explains that the E&M codes for office visits will now be based on either time or medical decision-making. The speaker emphasizes that the history and physical exam components will no longer impact the level of service selected. The speaker also explains that total time spent on the day of the encounter will now be used to determine the level of service, rather than just face-to-face time. The speaker provides examples of how to use the new coding system and discusses the criteria for each level of service. The speaker also addresses questions regarding coding for reviewing prior records, selecting the appropriate level of service for surgery discussions, and the need for history and physical exam in determining medical necessity. Lastly, the speaker clarifies that the global fee schedule is still in place and that time spent on activities such as documenting the operative report will count towards the total time for the encounter. Overall, the video provides an overview of the changes to the E&M coding system for office visits in 2021 and offers guidance on how to implement these changes.

Keywords

E&M coding system

2021 changes

office visits

time-based coding

medical decision-making

level of service

total time

coding system examples

criteria for level of service

reviewing prior records

surgery discussions

global fee schedule