Home or Residence Services: Changes for 2023 (December 2022)

Why This Topic Matters

Changes to the home and residence service families can affect code selection, documentation review, and reporting workflows for E/M services in non-facility settings. Reviewing the updated guidance helps practices align with the 2023 CPT structure and avoid using deleted or revised code pathways.

Article Sections

1. Overview of Changes

   Introduces the 2023 revisions to the home and residence service families and summarizes the scope of the code set consolidation. Discusses broad reporting changes and related references to other E/M service categories.

2. Guideline Revisions

   Reviews the updated guidance for reporting home or residence services under the revised framework. Covers general considerations related to timing, setting definitions, and related service reporting references.

3. Code Descriptor Changes

   Describes how the home or residence service descriptors were revised for 2023 and how the new structure is organized. Also notes the summary tables that compare the updated code families.

4. Reporting Prolonged Services

   Summarizes the article’s discussion of prolonged services reporting in connection with home or residence encounters. Includes references to the related prolonged services code used in this context.

5. Home or Residence Services: New Patient Code Descriptor Example

   Provides an illustrative example tied to the new patient side of the home or residence service discussion. The example is presented alongside a timing reference table.

6. Home or Residence Services: Established Patient Code Descriptor Example

   Provides an illustrative example tied to the established patient side of the home or residence service discussion. The example is presented alongside a timing reference table.