Are you aware of changes made to the evaluation and management (E&M) codes?

2021 has seen an update to the E&M codes including…

Welcome to your billing and coding weekly solutions by American Acupuncture Council Network (AAC).

Are you aware of changes made to the evaluation and management (E&M) codes?

2021 has seen an update to the E&M codes including the elimination of code 99201.

E&M codes were revised in ways that will be helpful to acupuncture providers.

The codes now for E&M codes range from 99202 through 99205 for a new patient and 99211 through 99215 for an established patient.

Under the new definitions of E&M codes, you may still use medical decision-making or severity as a factor when choosing the code; but now you can also use time as a deciding factor.

What is now considered part of the E&M is not just time face-to-face or medical decision making, but also time for the evaluation that includes the time before, during and after the face-to-face time that is part of the evaluation.

The protocols for choosing the proper E&M service will maintain medical decision-making as a method to choose the code.

Remember, billing with incorrect acupuncture CPT and ICD codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business. 

If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then American Acupuncture Council Network is your solution.

American Acupuncture Council Network stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.

There is a reason acupuncturists have trusted AAC with their business for over 30 years.

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