Having questions about the 2021 E&M guideline changes for office visits?

Here is an assortment of FAQs on the matter.

January 5, 2021

Question: Since history and physical exam are no longer required to level the visit, should I still document these elements?

Answer:  Yes. Although history and physical exam are no longer requi9red to level the visit, they are still important components in establishing medical necessity, supporting medical decision making, and providing high-quality care.  Documenting these components helps maintain continuity of care and assists other care team members.

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