The second element of MDM in 2021

The second element of MDM: amount and/or complexity of date to be reviewed and analyzed at the encounter

E/M changes for 2021 for codes 99202—99215

• There are three elements in medical decision-making and this article describes the second, arguably, the most complex of the three elements
• When selecting a level of service based on medical decision-making two of the three elements are required
• CPT^® has developed definitions for many of the components in the MDM chart and this article describes the definitions and rules related to data

Definitions related to data in the new MDM chart for office E/M visits in 2021

This article will start with the definitions and then describe how to select the level of data in the chart.

The CPT^® definitions are in italics, my comments are not.

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