E/M Coding Revisions-E/M Coding Revisions Slides

E/M Coding Revisions Slides

Pdf Summary

The given document provides information about the 2021 Evaluation and Management (E/M) coding update in dentistry. It emphasizes that any mention or depiction of a product, device, or appliance should not be seen as an endorsement by the American Academy of Dental Sleep Medicine (AADSM). The document also states that any opinions expressed about these products are the personal opinions of individuals, not the AADSM.<br /><br />The document discusses the steps involved in insurance coverage, which include eligibility, medical necessity, and payment. It highlights the changes in E/M coding for 2021, such as Medicare suggesting a single fee for all exams and the importance of medical necessity.<br /><br />The document explains the differences between coding for dental and medical purposes. It states that dental diagnosis is optional and may be included in the service, while medical diagnosis is always required and separate from the service. It also mentions that each insurance provider can set its own coding rules.<br /><br />The document provides an overview of E/M coding, emphasizing that it is based on the complexity of problems, data reviewed, and risk/morbidity/mortality. It includes examples of different code levels based on these criteria.<br /><br />The document discusses time-based coding, which determines the level of service based on the time spent on face-to-face interactions, counseling, education, reviewing tests, and documenting the visit. It clarifies that time-based coding does not include tasks performed by clinical staff or those reported/billed separately.<br /><br />The document concludes with contact information for further inquiries.

Keywords

2021 Evaluation and Management coding update

dentistry

product endorsement

insurance coverage

medical necessity

E/M coding changes

dental coding

medical coding

code levels

time-based coding