Appendixes CPT copyright 2020 American Medical Association. All rights reserved. =New code ▲=Revised code #=Re-sequenced code +=Add-on code APPENDIX II. QUICK REFERENCE TO 2021 CPT® PEDIATRIC CODE CHANGES ||||||||||| 519 II. Quick Reference to 2021 CPT® Pediatric Code Changes We have made every effort to include changes to procedures and services that are applicable to pediatric practices in this appendix. However, revisions and/or additional codes may have been published subsequent to the date of this printing. This list does not include all changes made to Current Procedural Terminology (CPT) 2021. Also, not all codes included in the quick reference table are further discussed in this publication (typically due to limited use by most pediatricians). Codes not discussed elsewhere are shaded in gray. Always refer to CPT 2021 for a complete listing of new codes, complete descriptions, and revisions. For questions or additional information on codes not discussed in this publication, please ­ contact the American Academy of Pediatrics Coding Hotline (https://form.jotform.com/Subspecialty/aapcodinghotline). Any errata to CPT 2021 will be posted to the American Medical Association website, https://www.ama-assn.org/practice-­ management/cpt/errata-technical-corrections. These changes take effect January 1, 2021. Do not report the changes or codes prior to that date. Quick Reference to 2021 CPT Pediatric Code Changes 2020 2021 Evaluation and Management ★99201 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history A problem focused examination Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other quali- fied health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are self-limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family. See 99202. See Chapter 7 for more information. ★99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history An expanded problem focused examination Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other quali- fied health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of low to moderate severity. Typi- cally, 20 minutes are spent face-to-face with the patient and/or family. ★▲99202 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15–29 minutes of total time is spent on the date of the encounter. ★99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history A detailed examination Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other quali- fied health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the presenting problem(s) are of moderate severity. ­ Typically, 30 minutes are spent face-to-face with the patient and/or family. ★▲99203 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medi- cal decision making. When using time for code selection, 30–44 minutes of total time is spent on the date of the encounter. Coding_2021.indb 519 Coding_2021.indb 519 9/15/20 2:24 PM 9/15/20 2:24 PM
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