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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?
 
CMS has painful plans for the somatic nerve block family of codes next year. Proposed cuts to work and other relative value units (RVUs) will result in lower pay for most codes in the 64400-64450 range, DecisionHealth analysis of the proposed 2020 Medicare physician fee schedule reveals.
 
The groundbreaking E/M code changes that are on track to arrive by 2021 gained clarity after the AMA released a preview of the E/M documentation guidelines you’ll use to code office visits in 2021.
 
The number of employed physicians surpassed those operating private practices for the first time on record, and a generational shift is underway among younger generations: Only 30% of physicians under the age of 40 are self-employed.

The AMA’s CPT Editorial Panel approved sweeping changes to documentation and code selection guidelines for evaluation and management codes. If finalized, the changes will shift the way practices select codes for both office and facility visits as soon as January 2021.

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