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KZA's March Courses


  • Core Module: Orthopaedic Coding Essentials
    • Global Service
    • NCCI
    • Surgical Modifiers & Fracture Concepts
    • Total Joint Arthroplasty (Hip, Knee, Shoulder)
    • Foot & Ankle
    • Hand
    • Sports Medicine

We’re one year into using revised E/M criteria in the office setting.  Join us for an overview of how code levels are selected under these AMA-defined changes.  We’ll cover in depth how the AMA’s March 2021 Technical Corrections impact medical decision-making credit in orthopaedics.  Last, we’ll discuss appropriate use of E/M modifiers 24, 57, and 25 in the office setting.  

This 2.5 hour on-demand course analyzes the CPT E/M guidelines that apply to office new and established patient visits,

presenting them in a distilled, understandable way. We’ll break down and explain the restructured elements of Medical Decision Making and Time and demonstrate how they are applied using example scenarios.

In this session you will:

  • Drill into the parameters of Medical Decision Making, and how the definitions of Problems Addressed, Data, and Risk come together to determine a level of service.  
  • Understand the nuances of how data credit is allowed (or not allowed), based upon information published by the AMA during 2021.
  • Differentiate how Time is defined under the revised criteria, and what activities can be counted when selecting the level of service for codes 99202-99215.        
  • Take a detailed look at the definition of modifier 25 and how to defend against payor denials.
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Coding Coaches