Changes in E&M Codes for 2021

Evaluation and Management Codes, used for physician billing, are crucial in capturing the precise level of care needed for accurate and full care reimbursement. In 2021, a number of changes in the rules for these codes will change how physicians bill for clinic visits. This episode will succinctly and comprehensively cover those crucial changes.


Guest speakers:

Aman Sabharwal, MD, MHA, CPHM

Senior Principal, Operational Effectiveness



Sheila Bowlds, MBA, RHIA

Consulting Director




Tomas Villanueva, DO, MBA, FACPE, SFHM

Associate Vice President

Clinical Resources



Show Notes:

[01:06] Function and importance of E&M Codes

[02:13] Outdated coding and documentation rules to be replaced

[03:16] Why now?

[04:02] Clinic/ambulatory E&M codes affected

[05:10] Only what is “clinically relevant”

[05:58] Components needed for the clinic codes

[06:33] Revisions

[08:33] Total Time for Office Visits

[09:44] Things included and not included

[12:15] Deleted code

[12:48] Main points to keep in mind


Links | Resources:

CMS Evaluation and Management Services Guide Click here

AMA E&M Codes web page Click here

AAFP E&M Codes web page Click here


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