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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 are being 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 when these changes are coming, 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 upcoming revisions to the CPT E/M office visits will affect medical decision making. Important revisions are coming 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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Activity Information

Credit Designation Statement: The American Medical Association designates this enduring material activity for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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


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