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You can dismiss a lot of the controversial updates to office E/M services, such as blended payment rates, that drew an outcry from the medical community. But you’re now on the clock to get in line with far-reaching documentation changes for these oft-used services, according to the 2020 proposed Medicare physician fee schedule released today.
 
 
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 CDC has posted the FY2020 ICD-CM final code changes, and the good news is there were no changes to the proposed list of 273 new, 30 revised and 21 invalidated codes that were released in the proposed inpatient hospital prospective payment system rule, April 23. 
 
All told, 273 codes are proposed to be added, 30 codes revised and 21 invalidated in the ICD-10-CM code set for fiscal year 2020. The code changes, once finalized, would take effect Oct. 1, 2019. CMS issued the proposed lists of new, revised and invalid codes April 23 in conjunction with the proposed inpatient hospital prospective payment system rule.

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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