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) is implementing the American Medical Association (AMA) revisions to the Evaluation and Management (E&M) office visit CPT® 99201-99215 code descriptor and documentation standards. The code revisions are effective January 1, 2021.

The AMA published information indicating that the revisions address the continuing problem of administrative burden for physicians in nearly every specialty. Documentation for E&M 99201-99215 office visit codes will now be centered around how physicians and qualified health care practitioners (QHPs) think and take care of patients based on medical necessity and not on mandatory standards that encouraged copy/pasting, checking boxes and/or re-recording of history and physical exam.

The scope of the AMA’s revisions is for CPT® codes 99201-99215 only. A summary of the revisions can be located at the AMA’s CPT Evaluation and Management page.


AMA Educational Modules: