AMA CPT® Assistant - 2022 Issue 8 (August)
E/M Revisions for 2023: An Overview (August 2022)
August 2022 pages 3-7 E/M Revisions for 2023: An Overview The American Medical Association (AMA)/Specialty Society Relative Value Scale (RVS) Update Committee (RUC) Evaluation and Management (E/M) Workgroup (E/M Workgroup) has continued to make revisions to the E/M section guidelines and code descriptors for the Current Procedural Terminology (CPT®) 2023 code set. The following E/M subsections will be affected by the latest changes to the CPT code set: Hospital Observation Services; Hospital Inpatient Services; Consultations; Emergency Department Services; Nursing Facility Services; Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services; Home Services; and Prolonged Services. The CPT...
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Article Overview
This article provides an overview of the 2023 CPT evaluation and management revision cycle and explains which major E/M subsections were updated for the new code set. It is relevant to coders, physicians, QHPs, compliance staff, and health systems that need to prepare for changes affecting hospital, consultation, emergency department, nursing facility, domiciliary/home, and prolonged service reporting. The discussion focuses on the scope of the revisions, the affected code families, and the general nature of the guidance needed to transition to the 2023 CPT code set.
Why This Topic Matters
The article helps organizations understand where the 2023 E/M changes were concentrated so they can update workflows, documentation practices, and training before the effective date.
Article Sections
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August 2022 pages 3-7
Introductory material identifying the article’s publication context and the overall purpose of the E/M overview.
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Background
Context for the CPT E/M revision effort and the general goals behind the updates to the remaining E/M subsections.
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Summary of Changes
High-level explanation of the scope, timing, and general direction of the 2023 E/M revisions across affected service categories.
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Hospital Inpatient and Observation Care Services
Overview of the consolidation and revision of hospital-based inpatient and observation-related E/M reporting within a single subsection.
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Consultations
Summary of changes affecting consultation reporting across multiple care settings and related subsection revisions.
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Emergency Department Services
Overview of the changes affecting emergency department E/M reporting and code selection criteria.
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Nursing Facility Services
Discussion of updates for nursing facility E/M services, including service types, documentation structure, and related reporting considerations.
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Domiciliary Services
Overview of the consolidation of domiciliary and home-related service guidance and the associated code set updates.
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Prolonged Services on the Date of E/M Service
Summary of the revised prolonged service framework for E/M services and the affected code families.
What You Will Learn
- Which E/M subsections were revised for CPT 2023
- How the article frames the transition timeline for the 2023 code set
- What broad categories of guidance were updated across hospital, consultation, emergency, nursing facility, domiciliary, home, and prolonged services
- How the article organizes deleted, revised, and newly referenced code families by service setting
Who Should Read This
- Medical coders
- Physicians
- Other qualified health care professionals
- Compliance staff
- Health system administrators
- Coding educators
Codes Discussed
Code Ranges Discussed
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