Be prepared: Examine 2024 E/M guideline and code changes

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains selected 2024 CPT evaluation and management updates that affect physician and QHP reporting. It is aimed at coders and billing staff who need a high-level understanding of changes involving time reporting, telemedicine, multiple encounters across settings, split or shared visits, hospital or observation care, and a new add-on service. The discussion focuses on general guidance and where changes were made so readers can compare current documentation and reporting practices with the updated CPT framework.

Why This Topic Matters

The 2024 changes affect common E/M scenarios across office, inpatient, observation, telemedicine, and facility-based care. Understanding the scope of the update helps coding professionals review manuals, align documentation workflows, and identify which reporting situations need closer attention.

Article Sections

  1. Coding

    Overview of the article’s focus on 2024 E/M reporting changes and the general areas affected. Introduces the categories of services addressed in the update.

  2. Track time changes

    Discusses revised time-based reporting concepts for E/M services and how time is handled across a date of service. Also notes how time is combined when more than one provider is involved.

  3. Tighten up telemedicine

    Summarizes updated CPT guidance on telemedicine reporting criteria and the general framework for telemedicine versus face-to-face services. Mentions audio-only and audio-video service categories.

  4. Multiple encounters in different settings or facilities

    Covers reporting guidance for more than one encounter or setting on the same date, including inpatient, observation, nursing facility, emergency department, and transfer situations. Describes the article’s focus on same-day per-diem reporting across facilities.

  5. Consider example scenarios

    Introduces scenario-based discussion of how the multiple-setting guidance applies in different transfer and discharge situations. The section is framed as examples rather than a full rule listing.

  6. Examine split or shared visits

    Reviews the general concept of split or shared E/M services performed by more than one provider. Addresses the article’s broad discussion of selecting the reporting provider using time or medical decision-making.

  7. Focus on hospital inpatient or observation care

    Summarizes revisions to hospital inpatient and observation care guidance for 2024, including stay length and visit structure considerations. Also notes how discharge-related reporting is addressed in the article.

  8. New code for 2024

    Highlights the addition of a new CPT add-on service for 2024 and the broad categories of services with which it may be associated. The section is limited to the article’s update notice.

What You Will Learn

  • Which 2024 E/M topics were updated in CPT guidance
  • How the article frames time-based reporting changes
  • What areas of telemedicine reporting received added guidance
  • How multiple encounters in different settings are discussed
  • What split or shared visit concepts are highlighted
  • What hospital and observation care topics were revised
  • What new CPT add-on service was added for 2024

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing and compliance staff
  • Physician practice administrators
  • Hospital outpatient and inpatient coding staff

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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