Excerpted from page 42 of the January/February 2021 edition of AOA Focus.
By now, all doctors of optometry should be reporting evaluation and management (E/M) codes in accordance with coding changes that went into effect on Jan. 1, 2021. As a reminder, on Jan. 1, the following changes went into effect:
- CPT 99201 has been deleted.
- You can choose the E/M visit level based on either medical decision-making or time.
- The revised code descriptors require history and physical exam performance to the extent medically necessary and clinically appropriate; history and exam are no longer considered key components for level selection.
- Ranges for total time (face-to-face and non-face-to-face) expended by the billing clinician in caring for a patient on the date of the patient’s office visit are given for each code, replacing the typical face-to-face times previously provided. Please note time does not include staff time, which is accounted for with practice expense.
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If you have questions regarding these code changes, please contact the AOA’s Coding Experts.
View changes to the office visit codes.
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