Coding Update: Is your office ready for the 2021 Evaluation and Management (E&M) 99201-99215 changes?

Blue Cross Blue Shield of North Dakota (BCBSND) will implement the American Medical Association (AMA) and the Centers for Medicare & Medicaid Services (CMS) revisions to the Evaluation and Management (E&M) office visit CPT® 99201 – 99215 code descriptor and documentation standards. The code revisions will be effective January 1, 2021. BCBSND encourages provider offices to stay informed of these changes.

The AMA has published information regarding these changes. Documentation for E&M 99201-99215 office visits codes will now be centered on medical necessity and not on mandatory standards that encouraged copy/paste, checking boxes, and/or re-recording of history and physical exam.

AMA Resources: