New EM Coding And Documentation Guidelines In 2023
                     New E/M Coding And Documentation 
Guidelines In 2023
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coding-and-documentation-guidelines-in-2023/
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
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.
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.
Apart from these, several codes under Category III are expected to 
be deleted or either moved to Category I or made obsolete.
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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 AMA’s 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
Several new codes will be entered in the E/M section that overlooks 
several subsections. Some of them are like:
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.
and Laboratory, radiology, 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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How To Get Equipped with New E/M 
Coding and Documentation
The changes, deletion, revising, and addition of new codes for 
documentation in the E/M, effective from January 1, 2023, will be 
challenging for every medical coder and biller. Any failure to abide by 
these changes and guidelines will result in a claim denial, delay, or 
rejection, which will mean a loss of revenue. When efficient running of 
the service with effective care is at the forefront of any hospital, learning 
these new guidelines by the facility’s staff means reducing the time to 
offer help to patients and better running of the hospital.
So, why not allow the experienced 
medical billing and coding services to take care of the patients and 
other admin jobs? Partner with a medical billing and coding company like 
24/7 Medical Billing Services, which will take care of the medical billing 
by adhering to the new E/M coding and documentation guidelines in 
2023. There will be no revenue loss; instead, you will get a successful 
claim on time so your facility can run smoothly.
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