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11:25 a.m.-12:15 p.m.

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Revisions to CPT E/M Visits 2021 to Improve Efficiencies

Over the past year, the AMA and Centers for Medicare & Medicaid Services (CMS) worked together to achieve the first overhaul of E/M office visit documentation and coding in more than 25 years. This new approach is a significant step towards modernizing patient care in the office that both reduces administrative burden for clinicians and health care providers, while creating incentives to provide better patient care. For the first time in decades, physicians will be required to document and select code levels based purely on good patient care, not arcane, obtuse rules.

The CPT® E/M office visit codes (99201-99215) are the most commonly billed codes in medicine, representing nearly a quarter of the Medicare Part B spend annually. These landmark revisions will affect nearly every specialty and seek to substantively change how visits are delivered in the office and outpatient setting. Education on these important changes will be vital to not only physicians, but all stakeholders within health care, so that the positive effects can be felt immediately upon implementation on January 1, 2021.

Presenters at this session will share insight into the process behind the reimagined approach to office visits and an overview of the new code revisions—directly from the Secretary of the CPT Editorial Panel.

Learner Outcomes

After completing this session, participants will be able to:

• Detail the processes that contributed to the CPT® E/M code changes that will take effect Jan. 1, 2021.
• Identify why CPT E/M revisions are needed and the benefits they will provide.
• Explain the CPT E/M office or other outpatient services revisions and when changes will take effect.
• Describe how the foundational changes will impact their work.


Zachary Hochstetler, CPT
Editorial and Regulatory Services, American Medical Association Chicago, IL
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