Changes To E/M Codes Beginning On January 1st

Effective January 1, 2021, the Centers for Medicare & Medicaid (CMS) finalized significant changes to the office and outpatient evaluation and management (E/M) services (CPT codes 99202-99215) for both new and established patients.

Specially, CMS increased the valuations for the majority of these services; developed new documentation requirements that allow providers to bill by time or medical decision making; and created a new add-on code for prolonged time on the day of service, HCPCS Code G2212 (for Medicare patients)/CPT code 99417.

Read the summary here. 2021 MPFS Codes table can be found here.

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Additionally, please find the spreadsheet that details the provisions of the COVID relief pieces of the end-of-year bill and includes a tab on the PPP sections.