On November 1 CMS issued its 2020 final rule for the Physician Fee Schedule, which, among other things, streamlines evaluation and management (E/M) services. In an effort to reduce the burden of coding, CMS states that the “[C]hanges retain 5 levels of coding for established patients, reduce the number of levels to 4 for office/outpatient E/M visits for new patients, and revise the code definitions.”