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welcome to this tutorial on billing evaluation and management codes 99202-99215 using medical decision making for code selection this is part of a three-part series that will cover the basics of the 2021 changes the information given in this training is correct as of january 2021 the most current information contained in this presentation can be found on the meridian medicare website and the cms website at the links listed on the slide the cms table of risk is used as a foundation to create its table of level of medical decision making or mdm it has been docHubly modified including the removal of ambiguous terms eg mild and further definition of previously ambiguous concepts e.g acute or chronic illness with systemic symptoms it serves as a guide to assist in selecting level of mdm used for office or other outpatient e m services the current four levels of the mdm are unchanged from previous levels of mdm here are the table changes from 2020 to 2021 for medical decision making or