With the release of CPT 2021, a new mandate established that E & M codes in the Office or Other Outpatient Services section (99202-99215) and the Prolonged Services (99354-99XXX) must be chosen based on the level of Medical Decision Making OR the total time for E & M services performed on the date of the encounter. Subsequent releases of CPT have expanded that mandate to include 105 of the 155 codes listed in the E & M section.
Thousands of physicians and coding professionals use the E & M Coding Tool daily to choose and validate E & M codes for documentation and billing purposes. This simple and easy-to-use two-sided tool helps you choose and validate E & M codes. The coding tool is continuously revised and updated, makes E & M coding faster and easier and is a great coding aid for both new and experienced coders.
TWO SIDED TOOL
The Coding Tool has two sides. Side A covers Office/Other Outpatient Services, Hospital Inpatient/Observation Care , and Consultations. Side B covers Nursing Facility Services, Home/Residence Services, and Non-Face-to-Face Services.
HOW DOES IT WORK?
The E & M Coding Tool is intuitive and simple to use and makes choosing or validating E & M codes fast, easy and more accurate.
- To choose the proper E & M code, first move the pointer to the correct service Category; for example, Office and Other Outpatient Services, New Patient. Then move the pointer to each code in the category until the dots in the window correspond to the level of Medical Decision Making required OR the total time spent on the service.
- To validate an E & M code that you have already chosen, first move the pointer to the code, then review the components in the window to confirm that the medical decision making, OR time spent on the service match the service provided and the documentation in the medical record.
CPT is a registered trademark of the American Medical Association.