New E-M Coding And Documentation Guidelines In 2023 PPT
                     
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 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
•  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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