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CHICAGO, Nov. 20 - After several sessions covering the historic E/M code changes moving closer to reality, some audience members here at the CPT and RBRVS 2020 Annual Symposium had pointed questions for CMS officials about the billions of dollars potentially on the move under the physician fee schedule in 2021. 
 
The 2020 physician fee schedule is under regulatory review, but that doesn't mean you can't gain a glimpse of the public comments about the pending E/M changes that CMS will be taking into consideration.
 
A patient presents to the emergency department after falling off a ladder. The ED physician examines him and determines that the patient has fractured his distal radius and ulna. The physician then applies a short arm splint to stabilize the fractures and instructs him to follow up with an orthopedic surgeon. How should this service be coded?
Here’s a good reason not to rely on CMS and the physician fee schedule for your CPT coding advice: The agency appears to be a bit confused about how to use the new musculoskeletal add-on codes for drug delivery device implant and removal.
 
You've heard by now of the momentous changes coming to your office-based E/M codes in 2021. And perhaps you caught wind of accompanying payment updates. But just how game-changing are the new payments?
 

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