Evaluation and Management Code Changes

Revisions made by the Centers for Medicare & Medicaid Services (CMS) to its evaluation and management (E/M) codes took effect Jan. 1, 2021. The changes were based on stakeholder input gathered by the AMA Evaluation and Management Work Group, a multispecialty group with representation from the AMA/Specialty Society Relative Value Scale Update Committee (RUC) and the Current Procedural Terminology Advisory Committee.

Quick Reference Guide

This quick reference guide from the AASM will give you an at-a-glance view of the office/outpatient E/M code changes introduced in 2021. You can see which code has been deleted and which add-on codes have been added, and you can learn how you will select the appropriate E/M code based on total time and medical decision making (MDM).

Montage Article

Published in the winter 2020 issue of the AASM membership magazine Montage, this article by AASM Coding and Compliance Committee member H. Thomas Johnson, MD, provides an overview of the E/M code changes.

E/M Code Changes for 2021 Implementation webinar

Recorded in October 2020, this webinar presented by the AASM Coding and Compliance Committee explains the revised E/M code development process and describes how the changes may apply to both new and established sleep medicine patient visits. The E/M webinar recording is available as a FREE resource for AASM members.

Talking Sleep Podcast

An episode of the Talking Sleep podcast also featured Coding and Compliance Committee member Dr. Asha Singh, who further explained how the revised E/M code changes may apply to both new and established sleep medicine patient visits. Listen to the episode below.

Coding FAQs

Visit the Coding FAQs page for answers to frequently asked questions about coding for patient office visits and other topics such as diagnostic sleep testing, telemedicine, and ICD-10.

Submit questions about the evaluation and management code changes to coding@aasm.org.