E/M CPT® Update: Hone Your Office/Outpatient Consultation Coding Skills for 2023

Why This Topic Matters

The changes affect how consultation services are described, documented, and reported, so coding teams need to understand the updated framework to support accurate claim submission and payer compliance for 2023.

Article Sections

1. See What’s New in Consultation Section Guidelines

   Introduces the 2023 consultation guideline updates, including changes to who may provide the service and the revised place-of-service language.

2. Choose the Correct Consultation Code via Time or MDM

   Explains the updated approach to selecting consultation visit levels using either total time or medical decision making and discusses documentation considerations.

3. Focus on Revised Office/Outpatient Consultation Codes

   Summarizes the 2023 changes to the consultation code set, including the deleted code and the revised code descriptors and time-based thresholds.

4. Time

   Covers prolonged service considerations tied to time-based consultation reporting and notes that payer policies may differ.