Enduring Material: January 7, 2021 Grand Rounds- Pediatric Urgent Care Weekly Webinar

Overview of CPT 2021 Revisions for Pediatric Urgent Care Providers

Speakers:

Maria Victoria Blanco, MD
Clinical Assistant Professor of Pediatrics, Pediatric Urgent Care
Children’s Mercy Hospital

Thuylinh Pham, MD FAAP
Pediatrician, Division of Urgent Care
Children’s Mercy
Clinical Assistant Professor, Department of Pediatrics
University of Kansas
Assistant Professor, Department of Pediatrics
University of Missouri

Objectives:

1. Identify key changes in CPT 2021 revisions
2. Recognize the revised descriptors for E/M Codes 99202-99205 and 99212-99215
3. Select appropriate E/M code using Medical Decision Making (MDM) or Total Time (TT) criteria
4. Define the 3 elements of MDM
5. Define Total Time spent by physician or qualified health provider (QHP)

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

Content

Relevance to Urgent Care

Timeliness

Q&A session

Technical and connection issues

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* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Extremely likely

Very likely

Somewhat likely

Not so likely

Not at all

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* 3. Was the webinar free from commercial bias?

Yes

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* 4. Please state what topics you would like to see discussed.

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* 5. Please share any comments about the webinar.

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* 6. The following 4 questions are scored for your CME credit:
Which of the following are true regarding the new coding guideline for 2021?

a. Code selection is based on the extent of a physical exam documentation.

b. Code selection is based on the extent of an HPI documentation.

c. Medical decision making and time are key components of code selection.

d. The new coding guidelines require more specific and lengthier documentation.

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* 7. Which of the following codes is no longer included in the new coding guidelines for 2021?

a. 99201

b. 99202

c. 99203

d. 99204

e. 99205

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* 8. Which one of the following is NOT recognized as a medical decision making (MDM) level in the new coding guideline for 2021?

a. Straightforward

b. Moderate

c. High

d. Complex

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* 9. Which of the following is true regarding code selection based on medical decision making (MDM)?

a. There are 4 types of MDM (straightforward, low, moderate, and high).

b. Time must be documented to determine the level of MDM.

c. A provider must have all three elements of MDM to determine the level of MDM.

d. Risk of complications and morbidity/mortality plays no role in determining level of MDM.

e. When looking at a specific code (ie. 99202), the coding level based on the MDM for that encounter will differ between new patients and existing patients.

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* 10. Which one of the following is NOT one of the three elements of medical decision making (MDM)?

a. The number and complexity of problems addressed during the encounter.

b. The amount and/or complexity of data to be reviewed and analyzed.

c. The risk of complications, morbidity, and/or mortality of patient management decisions made at the visit (must be associated with the patient’s problem, diagnostic procedures, and treatment).

d. Extensive documentation of the history and physical exam obtained during the visit.

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* 11. Which of the following is true regarding code selection based on time?

a. Only the time spent face to face can be included in the time used to select a code.

b. When looking at a specific code (ie. 99202), the time spent on an encounter to fulfill that coding level will differ between new patients and existing patients.

c. You may not include the time it takes to review information (such as previous test results) prior to seeing a patient.

d. Time can only be used to select a code when counseling and/or coordination of care dominates the service.

e. There is specific verbiage that needs to be used to document total time for an encounter.

Enduring Material: January 7, 2021 Grand Rounds- Pediatric Urgent Care Weekly Webinar

Overview of CPT 2021 Revisions for Pediatric Urgent Care Providers

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

Question Title

* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Question Title

* 3. Was the webinar free from commercial bias?

Question Title

* 4. Please state what topics you would like to see discussed.

Question Title

* 5. Please share any comments about the webinar.

Question Title

* 6. The following 4 questions are scored for your CME credit:
Which of the following are true regarding the new coding guideline for 2021?

Question Title

* 7. Which of the following codes is no longer included in the new coding guidelines for 2021?

Question Title

* 8. Which one of the following is NOT recognized as a medical decision making (MDM) level in the new coding guideline for 2021?

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* 9. Which of the following is true regarding code selection based on medical decision making (MDM)?

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* 10. Which one of the following is NOT one of the three elements of medical decision making (MDM)?

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* 11. Which of the following is true regarding code selection based on time?

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* 12. Name

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* 13. Email Address

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* 14. For CME recording please enter your NPI number below:

Question Title

* 15. For ABP MOC 2 credit, please enter your ABP ID here:

Question Title

* 1. Did the presentation meet your expectations of the following (select all that apply):

Question Title

* 2. After viewing this webinar, how likely are you to recommend this to a friend or colleague?

Question Title

* 3. Was the webinar free from commercial bias?

Question Title

* 4. Please state what topics you would like to see discussed.

Question Title

* 5. Please share any comments about the webinar.

Question Title

* 6. The following 4 questions are scored for your CME credit: Which of the following are true regarding the new coding guideline for 2021?

Question Title

* 7. Which of the following codes is no longer included in the new coding guidelines for 2021?

Question Title

* 8. Which one of the following is NOT recognized as a medical decision making (MDM) level in the new coding guideline for 2021?

Question Title

* 9. Which of the following is true regarding code selection based on medical decision making (MDM)?

Question Title

* 10. Which one of the following is NOT one of the three elements of medical decision making (MDM)?

Question Title

* 11. Which of the following is true regarding code selection based on time?

Question Title

* 12. Name

Question Title

* 13. Email Address

Question Title

* 14. For CME recording please enter your NPI number below:

Question Title

* 15. For ABP MOC 2 credit, please enter your ABP ID here:

* 6. The following 4 questions are scored for your CME credit:
Which of the following are true regarding the new coding guideline for 2021?