E/M 2023: Prepare for 5 medical decision-making changes, more guidance in 2023

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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 upcoming 2023 evaluation and management (E/M) medical decision-making updates and why practices need to prepare before the effective date. It is aimed at coding, compliance, and clinical documentation staff who maintain E/M training materials, scorecards, and internal guidance. The discussion covers revised MDM problem-status language, changes to risk-related examples, setting-specific application notes, and references to AMA/CPT educational materials.

Why This Topic Matters

The update affects how organizations teach, document, and review E/M services under the 2023 guidance. Understanding the scope of the revisions helps practices update internal workflows and avoid using outdated MDM references.

Article Sections

  1. Introduction and implementation timing

    Overview of the upcoming E/M medical decision-making updates and the need to update internal training and reference materials before the effective date.

  2. Problems addressed column, definition revised

    Discussion of revisions to the problems addressed element, including new language and setting-related clarification for certain E/M services.

  3. Two changes and more information for risk

    Summary of changes within the risk element of medical decision-making, including updated examples and additional guidance about where examples apply.

  4. Resources

    References to supporting webinar materials and official CPT guidance documents related to the 2023 E/M updates.

What You Will Learn

  • What areas of medical decision-making are changing in the 2023 E/M update
  • How the revised guidance affects problem and risk categories at a high level
  • Why practices may need to revise training and documentation support materials
  • Which organizations and educational resources are referenced for the update

Who Should Read This

  • Medical coders
  • Coding managers
  • Compliance staff
  • Physician documentation staff
  • Revenue cycle teams
  • Clinical educators

Codes Discussed

Code Ranges Discussed


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