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2021 ACS

The Art of Coding Office and Hospital Visits


  • Remote learning allows time-pressed surgeons and their staff stay abreast and ahead of coding issues without the cost or hassle of travel.
  • Active learning while participating in live question and answer sessions. 
  • Earn 3.0 CEU and CME credits. 
  • KZA experts present to you in the comfort of your home or office.
  • Quality KZA tools are downloadable, making implementation easy.


Prepare for the major change to documenting and coding office visit codes in 2021.  Code selection for services billed using 99202—99215 will no longer follow the 1995/1997 Documentation Guidelines. Learn what will determine code selection, including update rules for using time and significant changes in the table or risk related to the decision for surgery.  Discover how to bill for prolonged care services in the office, for those visits that take an extraordinary about of time. This session also covers coding for services performed in the hospital. Surgeons will need to use two sets of rules, one for office visits and one for services done in facilities.

Learning objectives:
After this session, participants will be able to:

  • Select the level of service for codes 99202—99215 using the new guidelines
  • Describe the two prolonged services codes
  • Identify the type of visit/category of code for patients seen in the hospital

You will receive a physical workbook(s) approximately four business days after you register.  Workbooks will be shipped via FedEx to the address(es) provided in the order.  If staff will be viewing from home, please indicate where the workbooks should be sent.

After registering you will receive an initial confirmation with details for the workshop. Additionally, you will receive an email with login instructions. This is necessary to participate in the workshop. Check your spam folder in case the email is directed to that folder.

It is important that you provide the email address of the person who will be participating in the event. Each separate participant requires a unique email address.

*You will have access to the content for 30 days from the time you receive the access information. Please email education@karenzupko.com if you have questions.

$495 for ACS members
$645 for non-members

2021 AAPC Accreditation

This program has the prior approval of AAPC for 3.0 continuing education hours. Granting of prior approval in no way constitutes endorsement by AAPC of the program content or the program sponsor. 

Credit is available after the completion of an evaluation.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 3 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Of the AMA PRA Category 1 Credits™ listed above, a maximum of 3 credits meet the requirements for Self-Assessment.

The workshop content is copyrighted property of KarenZupko & Associates, Inc.  Any rebroadcast, reproduction, or other use of the pictures, content and accounts of this workshop or the accompanying handout without the express written consent of KarenZupko & Associates, Inc. is prohibited.


*agenda subject to change

E/M Office and Outpatient Guidelines in 2021

  • Incorporating the Newly Redefined Medical Decision Making Elements
  • Element #1: Number and Complexity of Problems Addressed
    • Problems, Illnesses & Injuries: how are they defined?
    • Stable vs chronic
    • How is the complexity of the problem determined?
    • Counting the number of problems. What constitutes a separate problem?
  • Element #2: Data to be Reviewed and Analyzed
    • Defining Data Category 1
      • What is included as an external note?
      • What is a unique data test?
      • What is a unique source?
      • Who qualifies as an independent historian and how is this role documented?
    • Defining Data Category
      • Documenting independent interpretation
    • Defining Data Category 3
      • What constitutes a discussion of management or tests?
      • Who qualifies as an external or other source?
  • Element #3: Risk of Complications and/or Morbidity or Mortality of Patient Management
    • Defining level of risk: what does CPT say?
    • Documenting level of risk. Do the current risk table examples still apply?
    • How do test and treatment decisions impact co-morbidity and risk?
    • Exercises: Determining level of risk

2021: Using Time to Determine Level of Service

  • What is included in the new ranges?
  • What work and whose work is counted when time is used?

Prolonged Services Codes

  • Coding for prolonged services for new and established patient office and outpatient services
  • CPT code 99417 and HCPCS code G2212
  • Time thresholds and documentation

Coding for E/M Services in the Hospital Setting

  • Selecting the accurate category of code for services performed in a facility setting
  • Selecting the correct level of service using the 1995/1997 Documentation Guidelines


On-Demand Workshop


Betsy Nicoletti


Consultant and Speaker

Presented by

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Coding Coaches