Nursing Facility Services: Changes for 2023 (October 2022)

Why This Topic Matters

Nursing facility E/M reporting changed significantly for 2023, and this article helps readers understand the scope of those updates within the CPT E/M framework. It is useful for organizations that bill nursing facility services and need to stay aligned with current reporting guidance.

Article Sections

1. Code Descriptor Changes

   Explains the broad revisions made to nursing facility service descriptors within CPT 2023. The section discusses how the updated code family is organized and the types of reporting criteria addressed in the article.

2. Guideline Revisions

   Summarizes updates to the nursing facility services guidelines and the settings and provider roles covered by the revised reporting framework. It also notes the types of clarification included for reporting guidance.

3. Summary of Changes to Initial and Subsequent Nursing Facility Care

   Reviews the major changes affecting initial and subsequent nursing facility care within the CPT 2023 code set. The section includes a comparative presentation of the revised code family and associated reporting themes.

4. Summary of Changes to Nursing Facility Discharge Services

   Covers the changes to nursing facility discharge service reporting and the related time-based structure. The section outlines the discharge service code revisions included in the article.

5. Summary of Changes to Other Nursing Facility Services

   Describes updates affecting other nursing facility services and the deletion of a nursing facility assessment code. The section focuses on how the service category is addressed in the revised CPT guidance.