Summary
Effective for dates of service on and after January 1, 2021, Michigan Medicaid aligned office and outpatient evaluation and management levels 99202 through 99215 with the 2021 AMA CPT guidelines, so practitioners may select the level based on medical decision making or total time on the date of the encounter. The same date brought the annual HCPCS update, under which any new procedure code not listed will not be covered at this time except for reporting codes, and codes marked with an asterisk require prior authorization. Other changes in this bulletin, including retroactive coverage dates from October 1 through November 21, 2020 and COVID-19 specimen collection diagnosis codes, have dates that have already passed, so check current applicability before acting on them.
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