January 1, 2021, brought about the biggest changes to code selection for office and other outpatient evaluation and management (E/M) services since the 1997 Documentation Guidelines for Evaluation and Management Services. There have been many newly defined terms and details to learn in the guidelines for these services as published in Current Procedural Terminology®. As we put the revised codes and guidelines into practice, it might be helpful to reflect on the key simplifications offered by this change. These simplifications are intended to reduce the administrative burdens that were seen with previous code descriptors and guidelines.

Remember, you now have 2 code selection options and can choose the one most favorable to you.

The steps to code selection are as follows:

A pediatrician spends 5 minutes on the morning of an established patient’s office visit reviewing notes made by the practice’s chronic care coordinator since the patient’s last...

You do not currently have access to this content.