AAP eBooks
Advanced Search

Pediatric Office-Based Evaluation and Management Coding: 2021 Revisions

By American Academy of Pediatrics
Citation Manager
Share

Pediatric Office-Based Evaluation and Management Coding: 2021 Revision provides expert guidance on the revised 2021 Current Procedural Technology (CPT ®) office and other outpatient evaluation and management (E/M) codes to help ensure appropriate code selection.

https://shop.aap.org/pediatric-office-based-evaluation-and-management-coding2021-revisions-paperback/

Show More Show Less
  1. Page vii
    Introduction
  2. Page 1
    Office and Other Outpatient Evaluation and Management Services
    1. Page 3
      Overview of Office and Other Outpatient Evaluation and Management (E/M) Codes
      1. Page 4
        New Versus Established Patients
      2. Page 6
        E/M Services in Urgent Care Facilities
      3. Page 7
        Visits Not Requiring a Physician’s or Qualified Health Care Professional’s Presence
    2. Page 8
      Office E/M Guidelines
      1. Page 9
        Office E/M Terms and Concepts
    3. Page 12
      Time Guidelines and Application
    4. Page 14
      Medical Decision-making (MDM): Guidelines for Selecting a Level
      1. Page 14
        Number and Complexity of Problems Addressed
      2. Page 19
        Amount and/or Complexity of Data to Be Reviewed and Analyzed
      3. Page 22
        Risk of Complications and/or Morbidity or Mortality of Patient Management
    5. Page 23
      Selection of Level 2 Through 5 Codes
      1. Page 26
        Office E/M Level 2 (99202, 99212)
        1. Page 27
          Time Requirements (in Lieu of MDM)
      2. Page 28
        Office E/M Level 3 (99203, 99213)
        1. Page 28
          Time Requirements (in Lieu of MDM)
      3. Page 29
        Office E/M Level 4 (99204, 99214)
        1. Page 30
          Time Requirements (in Lieu of MDM)
      4. Page 32
        Office E/M Level 5 (99205, 99215)
        1. Page 32
          Time Requirements (in Lieu of MDM)
    6. Page 33
      Prolonged Office E/M Service
      1. Page 33
        Prolonged Service by a Physician or Other Qualified Health Care Professional
      2. Page 36
        Prolonged Clinical Staff Service (99415, 99416)
    7. Page 39
      Split/Shared Office E/M Services
    8. Page 40
      After-hours Services (99050-99058)
      1. Page 41
        Services Provided When the Office Is Normally Closed
      2. Page 41
        Services Provided During Regularly Scheduled Evening, Weekend, or Holiday Hours
      3. Page 42
        Services Provided on an Emergency Basis in the Office
    9. Page 43
      Continuum Models: Asthma, Attention-Deficit/Hyperactivity Disorder, and Otitis Media
    10. Page 48
      Resources
  3. Page 59
    Appendix
    1. Page 51
      Beyond 2020: Office and Other Outpatient Evaluation and Management Coding
    2. Page 53
      The Why and How of Changes to Office and Other Outpatient Evaluation and Management Services
    3. Page 59
      An Overview of Evaluation and Management Changes for 2021
    4. Page 63
      An Overview of Medical Decision-making
    5. Page 71
      An Overview of Time-Based Code Selection
    6. Page 77
      Determining the Number and Complexity of Problems Addressed
    7. Page 81
      Determining the Data Element of Medical Decision-making
    8. Page 85
      Determining Levels of Amount and/or Complexity of Data
    9. Page 89
      Determining the Level of Risk
    10. Page 93
      Examples of Risk in Determination of Overall Medical Decision-making
    11. Page 97
      Evaluation and Management Codes: A Work in Progress
    12. Page 99
      Determining the Level of Medical Decision-making
    13. Page 107
      Level 2 Visits
    14. Page 111
      2020 Versus 2021: When Is 99211 Reported?
    15. Page 115
      Level 3 Visits
    16. Page 119
      Level 4 Visits
    17. Page 125
      Level 5 Visits

More From Coding

Citation Manager
Share

AAP eBooks Notices

COVID-19 Resources

The AAP offers a COVID-19 web page where you can find the latest clinical guidance, information on PPE, practice management resources, including telehealth and coding. This page is updated daily and is the best place to locate AAP resources. 

Neonatal Resuscitation Collection
Available exclusively from the AAP! The Neonatal Resuscitation eBook Collection, including the 7th Edition Neonatal Resuscitation Textbook in English and Spanish.

NEW! AAP 90th Anniversary Publication
Learn about the history of the AAP: The American Academy of Pediatrics: 90 Years of Caring for Children 1930-2020

Try Our Enhanced Search
Search for topics in eBooks, Journals, or News right from the search bar. Try it now!

Reader Apps Available
Free apps for iOS or Android smartphones and tablets for offline eBook reading. For more information, click here.

AAP Point-of-Care Solutions

Five essential AAP resources share an integrated platform, with quick, easy access to well-care guides, acute-care answers, patient education, tool and resource collections, and pediatric coding.

AAP journals and AAP News are available on Gateway, a seamless, relevant reading experience on any mobile device.