Healthcare News: AMA updates the E/M guidelines for facility-based services

July 12th, 2022

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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 news article reviews changes to AMA CPT evaluation and management guidance for facility-based services scheduled for 2023. It is relevant to coders, billers, compliance staff, and clinicians who work with hospital, consultation, emergency department, nursing facility, home, and prolonged services reporting. The article provides a broad overview of the categories of service affected, the timing of the update, and the types of code and guideline changes included.

Why This Topic Matters

The article flags a major CPT update that affects several facility-based E/M service categories and related prolonged service guidance. Readers can use it to determine whether they need to review affected service lines before the effective date.

What You Will Learn

  • Which broad E/M service categories were updated for 2023
  • Which types of CPT changes were included in the AMA update
  • How the update affects facility-based reporting areas at a high level
  • What kinds of guideline revisions accompanied the code changes

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Compliance professionals
  • Physicians and advanced practice providers

Codes Discussed

  • CPT: 993X0
  • CPT: 99241
  • CPT: 99251
  • CPT: 99318
  • CPT: 99339
  • CPT: 99340
  • CPT: 99343

Code Ranges Discussed

  • CPT: 99217-99220
  • CPT: 99224-99226
  • CPT: 99221-99223
  • CPT: 99231-99236
  • CPT: 99238-99239
  • CPT: 99242-99245
  • CPT: 99252-99255
  • CPT: 99281-99285
  • CPT: 99304-99310
  • CPT: 99315-99316
  • CPT: 99324-99328
  • CPT: 99334-99337
  • CPT: 99341-99342
  • CPT: 99344-99345
  • CPT: 99347-99350
  • CPT: 99354-99357

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