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Capturing Social Determinants of Health Using Z Codes
Changes to E/M Codes
CY 2020 Physician Fee Schedule final rule changes to E/M codes let you use SDOH with MDM levels that affect payment amounts.
This ends the need for a history or physical exam to select among code levels.
This offers separate payment for the 5 levels of office or outpatient E/M visit CPT codes, including deleting CPT code 99201 and adopting revised code descriptors for 99202–99215.
This lets you choose time or MDM to decide the level of office or outpatient E/M visit, using the revised CPT interpretive guidelines for MDM that include SDOH.