decisionhealth Newsletters, Part B News - 2022 Issue 8 (August)
Speed E/M code selection with a family-to-place-of-service crosswalk
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Article Overview
This article explains the relationship between evaluation and management visit families and place of service codes across common care settings, including nursing facilities, homes, telehealth, and select residential environments. It is aimed at coders and billing staff who need to understand how updated CPT guidance and CMS place of service concepts affect E/M code-family selection. The piece also notes pending 2023 CPT revisions and references telehealth continuation guidance during the COVID-19 public health emergency.
Why This Topic Matters
Correctly matching E/M visit families to place of service codes affects coding consistency and supports accurate claims processing for facility, home, and telehealth encounters. The article is useful for teams reviewing CPT updates and place of service policy changes.
Article Sections
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E/M family to place of service crosswalk overview
Introduces the purpose of the crosswalk and the common settings it is designed to help distinguish. It frames the article around facility and home visit coding across different care environments.
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2023 CPT E/M guidance changes
Summarizes the pending CPT updates effective in 2023 and the broader settings they affect. It also notes how certain facility categories are grouped within the updated E/M family structure.
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Home visit family expansion
Describes the broader home-or-residence family concept and the types of settings associated with it. This section focuses on how the expanded family relates to residential care environments.
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Telehealth tip
Highlights the article’s telehealth-related guidance in the context of the public health emergency waiver extension. It connects telehealth coding considerations with the site where the patient would ordinarily be seen.
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Resources
Lists external reference sources related to place of service codes and the CPT E/M update materials.
What You Will Learn
- How E/M visit families relate to place of service coding
- Which broad care settings are discussed in the context of updated CPT guidance
- How telehealth coding considerations are addressed during the waiver extension period
- Where to find the referenced CMS and AMA source materials
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance staff
- Practice administrators
Codes Discussed
Code Ranges Discussed
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