PFS Payment for Office and Outpatient Evaluation and Management Visits

Effective January 1, 2021, for Physician Fee Schedule (PFS) payment of office and outpatient Evaluation and Management (E/M) visits (CPT codes 99201 through 99215), Medicare generally adopted the new AMA coding, language, and interpretive guidance framework. See the fact sheet (PDF) for more information, including:

  • PFS payment of Medicare’s add-on codes for prolonged office and outpatient visits (G2212) and visit complexity (G2211)
  • Medical review when time is used to select visit level

Source: CMS MLN Connects dated February 11, 2021


            Last Updated Fri, 12 Feb 2021 16:01:22 +0000