PFS Payment for Office & Outpatient E/M Visits

Effective January 1, 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