New E/M Coding And Documentation Guidelines In 2023

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New E/M Coding And Documentation Guidelines In
2023 

• A new set of Current Procedural Terminology (CPT)
  codes are to be released by the American Medical
  Association for 2023. The update aims to reduce
  the burden of coding regarding the E/M
  (evaluation and management) visits. The E/M
  coding and documentation changes can be termed as
  once-in-a-generation guidelines restructuring in
  2023. With several deletions, alterations, and
  additions in the coding and documentation
  guidelines, many providers believe it will be a
  game changer.

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The Deleted E/M CPT 2023 Codes

• This revision will delete several codes, and new
  2023 guidelines for the Evaluation and Management
  coding will transform the medical billing and
  coding industry. They are as follows
• Code 99241 is used for an office consultation,
  and code 99251 for inpatient consultation, both
  of which fall under the Consultations heading,
  will be deleted.
• Nursing facility services that fall under the
  99318 codes will be deleted.
• 99339 and 99340 codes associated with rest home,
  domiciliary, and home care plan will be deleted.
• Codes for custodial care for established and new
  patients are to be deleted, i.e., 99334 99337
  and 99324 99328, respectively.
• Home visit code 99343 associated with new
  patients will be deleted under the Home Services
  header.
• The add-on codes for the prolonged services 99354
  99357 will be deleted.
• 49562 49657 codes for Laparoscopy are also
  targeted.

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Revised E/M CPT 2023 Codes

• With the deletion of the codes, the AMA had to
  revise the description of other codes for the E/M
  section. Some of the revisions that will be done
  include the following
• The Hospital Inpatient Services header is the
  first point of discussion on whether the revised
  codes now include inpatient or observation care.
  Similarly, the outpatient or office consultation
  codes will be modified to include office or
  other outpatient consultation.
• The revisions further keep with the AMAs
  guidelines that level the use of medical
  decision-making (MDM) and time. Likewise, even
  the prolonged service code is expected to be
  revised to specify that it will be used for an
  E/M outpatient, not for office or other
  outpatient services.
• It must be noted that there are expectations for
  revisions in the description regarding the
  interprofessional telephone, electronic health
  record and internet consultation codes, cognitive
  assessments, and code for the care plan service.

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New CPT 2023 Codes for E/M

• New codes for integumentary subsections will be
  added, and so are the codes for the
  Musculoskeletal System subsection, which is for
  the total disc arthroplasty.
• Surgeons must now deal with five new codes in the
  Cardiovascular subsection to report percutaneous
  pulmonary artery revascularization by stent
  placement. Likewise, two new codes will be added
  for surgeons to report in the upper extremity
  about the percutaneous arteriovenous fistula
  creation.
• In the digestive subsections, there are 17 new
  codes and three new codes in the Auditory System
  subsection that describes the replacement,
  implanting, or removal of an Osseo integrated
  implant.
• Pathology and Laboratory, radiology billing, and
  even the medicine section have to deal with
  eleven, one, and ten new codes, respectively. 
• Lastly, the new CPT codes for E/M have not
  ignored the emerging services, procedures, and
  technology and placed many new codes in Category
  III.

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