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Code and Guideline Changes | AMA

(312) 464-5000 1 CPT is a registered trademark of the American Medical Association. Copyright 2021 American Medical Association. All rights reserved. CPT Evaluation and Management (E/M) Office or Other Outpatient (99202-99215) and Prolonged Services (99354, 99355, 99356, 99417) code and Guideline Changes This document includes the following CPT E/M Changes , effective January 1, 2021: E/M Introductory guidelines related to Office or Other Outpatient Codes 99202-99215 Revised Office or Other Outpatient E/M codes 99202-99215 In addition, this document has been updated to reflect technical corrections to the E/M guidelines : were posted on March 9, 2021 and effective January 1, 2021: Medical decision making is revised in the following ways: o Clarifying when reporting a test that is considered, but not selected after shared decision making.

face-to-face encounter with the physician or other qualified health care professional. For office or other outpatient services, if the physician’s or other qualified health care professional’s time is spent in the ... if required, with modifier 26 appended. If a test/study is independently interpreted in order to manage the patient as part ...

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