2023 E/M Prolonged Service Revisions (November 2022)

Why This Topic Matters

Prolonged service reporting changed materially for 2023, and understanding the revised code structure helps support accurate E/M coding, avoid use of deleted codes, and align documentation review with the updated CPT framework.

Article Sections

1. November 2022 pages 1-7

   Introduces the scope of the article and the general 2023 changes to prolonged E/M service reporting in CPT.

2. Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service

   Covers the category of prolonged services reported on the same date as selected E/M services and the broader revisions affecting this area.

3. Table 1. Deleted Prolonged Services Codes for 2023

   Summarizes deleted prolonged service codes and their replacement structure for 2023.

4. Prolonged Service on Date Other Than the Face-to-Face Evaluation and Management Service Without Direct Patient Contact

   Discusses prolonged services reported on a different date than the face-to-face E/M encounter and the related continued use of existing codes.

5. Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision

   Reviews prolonged clinical staff service reporting under supervision and the updated clarifications for this code family.

6. Table 2. Time Range: E/M Office or Outpatient Codes and Codes 99415 and 99416

   Provides an overview of the office and outpatient time relationships tied to prolonged clinical staff service reporting.

7. Reporting Prolonged Services Across E/M Code Families

   Compares prolonged service code families and the E/M service groups with which they may be associated.