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Log In Subscribe About Us Help Advanced Search ◄ Home News & Analysis PBN Current Issue PBN User Tools PBN Benchmarks Ask a PBN Expert Archive NPP Report Archive PPP Archive Regulations & Guidance Coding Resources Fee Schedules Medicare Transmittals Medicare Manual Communities Editors' Blog Forum Twitter Facebook Training & Events CEUs Store E/M Changes Telehealth Coding With 99201 on the chopping block, prepare for shifting MDM elements, audit concerns By: Roy Edroso Among other big E/M changes arriving soon, Level 1 new patient office code 99201 is going away in 2021. The transition shouldn’t hamstring your coding efforts. But keep two important elements in mind to avoid disruptions: Follow the AMA and CMS guidelines for the remaining E/M codes and resist the temptation to simply kick your former 99201 cases up a level without proper documentation. Consider options for deaf patients in telehealth, and add a plan for prompt follow up By: Roy Edroso Providers are required to help patients with hearing issues understand their treatment, and experts point out that the shift to telemedicine can help — or potentially complicate — the process, depending on how you approach it. Debut of 2021 CPT codes includes 200-plus additions, dozens of revisions, deletions By: Staff Take a first look at the CPT codes you’ll report next year for a variety of services, including the prolonged service E/M code that you can tack onto time-based E/M office visits. All told, you’ll find more than 200 new codes, 48 revisions and 52 deletions, according to a 2021 CPT data file released Sept. 1. Features Ask a Expert Question: I saw a recent report on telehealth that addresses a situation in which the telehealth patient refuses follow-up care. In the scenario, the patient is determined by the provider to require a... More NPP Report Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More Benchmark of the Week You’ll have one fewer E/M office visit code to report in 2021 after the AMA finalized its plan to delete 99201 from the CPT master list. While use of 99201 is trending down, some specialties t... More Ask a Expert Question: I saw a recent report on telehealth that addresses a situation in which the telehealth patient refuses follow-up care. In the scenario, the patient is determined by the provider to require a... More NPP Report Question: A new patient came in and saw our physician assistant (PA) for some lacerations. She did not see a doctor. A week later the patient returned for follow up with an M.D. For purposes of billin... More Benchmark of the Week You’ll have one fewer E/M office visit code to report in 2021 after the AMA finalized its plan to delete 99201 from the CPT master list. While use of 99201 is trending down, some specialties t... More choose your feature view ► Sep 11, 2020 AMA releases 2 new COVID codes, effective immediately by: Richard Scott Sep 9, 2020 New set of COVID-19 ICD-10-CM codes proposed for Jan. 1 launch by: Laura Evans, CPC Sep 8, 2020 Debut of 2021 CPT codes includes 200-plus additions, dozens of revisions, deletions by: DecisionHealth Editors Tools 2020 Medicare-covered telehealth services About 100 codes, including E/M office visits ( 99201 - 99215 ), are eligible for telehealth reporting under Medicare in 2020. In response to the COVID-19 pandemic, CMS will allow Medicare providers to deliver telehealth services without site-of-service restrictions. Modifier 25 Decision Tree Modifier 25 indicates a "significant, separately identifiable E/M service." Incorporate the tips below and click the "Download file" link above to access a modifier 25 decision tree. See more... Forum Counting Managed Conditions Originally posted May 2, 2017 HIMT Student Originally posted May 22, 2020 Need a coder's help Originally posted September 2, 2020 See more... Already a Member? | Interested in Joining? Learning Opportunities WEBINAR Anesthesia: Virtual Coding Summit WEBINAR Orthopedic: Virtual Coding Summit See more... Login User Name: Password: Remember me Forgot password Welcome to the new Online. If you are a returning user having trouble logging in, please click here . Choose an account End User License Agreement Subscription Subscribers to are purchasing access to an online service for a defined subscription period. Each subscription is for one user. Log-ins and passwords cannot be shared. Multiple subscriptions can be purchased for one or many locations by calling an account representative at 1-800-865-9873. 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