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Revisions to the CPT E/M Office Visits: New Ways to Report Using Medical Decision Making (MDM)

Learning Objectives
1. Recognize the changes to Medical Decision Making (MDM) in selecting the code level for E/M office visits
2. Describe the definitional changes to the criteria for MDM
3. Navigate the revised MDM selection chart and determine how it differs from pre-2021 reporting
0.5 Credit CME

Substantive revisions have been made to the CPT codes related to office and other outpatient services, collectively known as the Evaluation and Management (E/M) codes. These changes, designed to address administrative burden in clinical practice, were announced in November 2019 and impact nearly every medical specialty. Understanding these changes and their benefits and impacts is essential for all members of the care team.

This third module, in a series of three, will provide detailed information on how the revisions to the CPT E/M office visits will affect medical decision making. Important revisions were made to this key element and having an understanding of how you will report it, under this new coding construct, will be critical to managing both your practice and patients.

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The CPT® code set is more than a terminology. It is a system for reimbursement, an enabler of research, a tool for reducing administrative burden and it is a method of accelerating medical innovation. Learn more

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Activity Information

Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships.

If applicable, all relevant financial relationships have been mitigated.

Credit Renewal Date: April 22, 2021, July 28, 2022, July 25, 2023

Accreditation Statement: The AMA is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Statement: The AMA designates this Enduring Material activity for a maximum of 0.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

     
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