AMA Updates CPT Codes for Office Visits

On September 1, 2020, the American Medical Association (“AMA”) updated codes for office and outpatient visits.  These recent updates include:

  • Elimination of history and physical exam elements for code selection;
  • Code selection based on medical decision making or total time;
  • Added detail to code descriptions.

These E/M revisions are among 329 total changes in the 2021 CPT code set.  Additionally, the AMA has updated codes to address reimbursements for services provided due to the COVID-19 pandemic. 

Since E/M coding is one of the main areas of audits, these changes should help physicians in easing many of the common issues faced when audited by a private payor or a governmental agency.

Frier Levitt has multiple attorneys experienced in assisting physicians and medical offices who are faced with audits or overpayment demands from commercial and government payors.  If you have questions about coding, or coding audits, contact Frier Levitt today.

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