American Medical Association Releases 2023 E/M Updates

July 15, 2022

These changes will take effect on January 1, 2023.

News & Trends

Compliance Services

We are excited to share with you the recent updates that will be taking place for E/M CPT codes. The American Medical Association (AMA) CPT® Editorial Panel has approved and updated the guidelines for hospital services, emergency department visits, nursing facility services, home visits, and prolonged care services. These changes will take effect on January 1, 2023.

‍The Centers for Medicare & Medicaid Services (CMS) also supported this update and published its version of the latest updates in a newsroom article on July 7, 2022. With the updates, they have deleted some observation care codes, the annual nursing facility assessment code, and domiciliary and rest home codes. Some prolonged care codes and low-level consultation codes will also be deleted.

The most exciting part with the updates is, similar to the Office/Outpatient E/M guidelines, the level of code selection for these services will be based on medical decision-making or time. Emergency department visits will be based on medical decision-making only, not time. These E/M services include a medically appropriate history and exam when performed, meaning there is no switching between the two different guidelines!

Review the 2023 CPT E/M Descriptors and Guidelines from the AMA

The industry has already adapted to similar guidelines with the Office/Outpatient E/M, and we are confident this transition will be smooth for everyone. Stay tuned for more information to come as it becomes available!

Questions? Submit them here to speak with one of our consultants.

Social Share

Contributors

Jacob Swartzwelder, CPC, CPMA, CRC, CIC, CEMC, AAPC Approved Instructor

Director of Coding Operations

Share this post

Related Insights

View All Insights

2021 Offers New Opportunities Amid Healthcare Regulation Changes

Responsive Compensation Arrangements to Battle COVID-19

Healthcare and the Millennials

A Lookback at the 2021 Top Five Trends in Healthcare

What did we get right?

2021 E/M Coding Changes: What Healthcare Professionals Need to Know

COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 3)

The Next Stage of Evolution in Physician Practice Transactions: Can hospitals compete with private equity in attracting physician group deals?

Healthcare Cybersecurity – Where are You Vulnerable?

Best Practices for Developing Employed Provider Compensation Plans

CMS Issues 2023 Physician Fee Schedule Final Rule

The conversion factor will decrease by 4.5%.

Information Blocking Compliance: What do Healthcare Providers Need to Know?

Planning and Managing Provider Compensation: A Checklist-Based Approach

Streamline provider compensation management with actionable steps to improve compliance and transparency.

Will Innovation Capture Value-Based Market Share?

Primary care value-based care model disrupts the market.

5 Mistakes Covered Entities and Business Associates Made During a Security Risk Analysis

Going Beyond EHR: Leveraging AI and Digital Transformation Strategies

Unlocking the Future of Healthcare: How AI and Digital Transformation Enhance EHR Capabilities

How the CY 2022 PFS Final Rule Affects Split/Shared Visits and Critical Care Services

On May 3, 2021, CMS withdrew provisions for split/shared E/M visits and critical care services from the Medicare Claims Processing Manual IOM

Another Blow for Hospitals: The Ongoing Battle of Site Neutral Payments

The Office of Inspector General to Audit the Effectiveness of the Health and Human Services Office for Civil Rights

OIG to assess compliance with HIPAA security requirements.

COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 1)

Navigating the Digital Landscape: Hospital Marketers Win in the Latest Ruling on HHS Online Tracking and HIPAA

Learn how the recent court ruling empowers hospital marketers to use web technologies without fear of non-compliance and how to stay vigilant as the case progresses.

Identifying Embezzlement Opportunities in a Medical Practice

Post-Pandemic Crisis Affiliation: Which Way is Up?

So Your Healthcare Organization Survived COVID, What Comes Next?

Perform an operational and strategic review.

CrowdStrike Outage Impacts US Healthcare: Protecting Healthcare Organizations

Protect Your Healthcare Organization from IT Disruptions: Learn from the CrowdStrike Outage

Let’s Talk about Why Qualitative Information Matters in Your Physician Needs Assessment

The medical community's input and health system leadership can be vital to a comprehensive physician needs assessment.

COVID-19 FRAUD ALERT

Engage an Expert Witness to Build a Sound Defense in Healthcare Legal Cases

Relationship Status with Productivity-Based Compensation: It's Complicated

COVID-19 Telehealth Privacy and Security Concerns

Artificial Intelligence (AI) in Healthcare: How is it Changing Healthcare and What are the Ramifications?

Is Your Corporate Compliance Program Well-Designed?

wRVUS: Are yours accurate?

Mitigating Organizational Stress

The Aging Physician Workforce

Understanding Medicare Preventive Visits: Key Differences Between IPPE and AWV Services

Discover how understanding these distinctions can enhance patient care and ensure compliance.

Front-End Patient Collections: Where the Rubber Meets the Road

In a World of Increasing Vulnerability to Cyber Attacks: Are You Protected?

Cybersecurity Tips

Mitigating Risk when Migrating from one EMR to Another

Can Hospitals Compete with Private Equity in Attracting Physician Group Deals?

Provider Compensation in Rural Markets: Top 5 Lessons Learned

Announcing the Acquisition of Healthcare Consulting Firm, TTG Healthcare Advisors

Coker Group Telehealth Survey

The Ugly Truth About the New 2021 E/M Changes

2021 Evaluation and Management (E/M) guidelines is one of the biggest changes to physician billing and coding.

A Strategic Systematic Approach to Community Health Needs Assessment (CHNA): A Living Plan for Your Community's Health Improvement

Overcoming Obstacles with Performance Improvement for Critical Access Hospitals

Actionable solutions for rural health leaders.

Should You Use a Non-Medical Grade Telemedicine Platform?

Leveraging Medicare Annual Wellness Visits for Chronic Disease Identification and Prevention

Tap into the Power of Medicare AWVs for Early Detection of Chronic Illness

Establishing Objective Evidence for Physician Needs Assessments

Does the Corporation’s Compliance Program Work in Practice?

Conflict Management and Successful Leadership

Key Issues and Guidance for Hospitals and Medical Groups during the COVID 19 Pandemic

Announcing our New Book on Private Equity and Healthcare

Press Release: Coker Team Authors New Book on Private Equity and Healthcare

Physician Community Need Assessments in the Age of Employment

Smoothing the Rough Spots in Patient Flow in Outpatient Practices

Key Points About Risk Adjustment of Quality and Cost Data

Comprehensive Executive Search Should Include Leadership Cultural Assessment

Is there a Looming Physician Shortage and What does it Mean?

Is Your Telehealth Solution HIPAA Compliant?

Telehealth enforcement discretion ends May 11, 2023

Why is a Fair Market Value/Commercial Reasonableness Opinion Important for Value-Based Enterprises?

FMV/CR documentation ensures market and economic reasonability.

The Effect of the Election on the Healthcare Industry

Healthcare Consulting Firm, Coker, Announces Acquisition of NorthGauge Healthcare Advisors

Employed Physician Network Turnarounds

ONC Temporarily Relaxes Compliance Deadlines Related to the Cures Act

Lawmakers Grapple with Artificial Intelligence Regulation as Popularity and Utilization Grow

ChatGPT could improve providers' productivity

EHR Documentation Integrity Risks: Ten Ways to Stay Compliant

HHS Announces Changes to the HIPAA Privacy Rule

Navigating the New Normal of a Post-Pandemic World

A Reflection on Coding and Compliance Changes

Healthcare Cybersecurity: Is Your Data Protected?

Five Tips to Keep Your Data Safe

Coker Group has added Brandt Jewell as a Senior Vice President to lead their Physician Services Group

Assess the Health of Your Practice Operations

Up, Up, and Away? Inflation, Shortages, and the Impact on Business Valuation Analyses

A thorough review of each revenue and expense line item is required.

Is the Affordable Care Act Dead, Alive, or Somewhere in Between?

Discover How Political and Economic Pressures Are Shaping the Future of Healthcare in 2024.

Is Information Technology a Competitive Necessity or a Competitive Advantage?

Recognizing and Mitigating Key Areas of Risk

The Intersection of Compliance and Fair Market Value: Are You Sure Your Arrangements Coincide?

8 Information Blocking Exceptions You Need to Know

It is not considered Information Blocking if these exceptions are met.

3 Critical Elements for Building an Effective Human Firewall

Building Medical Staff Buy-In when Conducting a Physician Community Needs Assessment

Practice Management Basics: A Healthy Revenue Cycle Begins Up Front

Too Little? Not Too Late

Burning Platforms: Common Characteristics and Considerations for Employed Provider Network (EPN) Turnarounds

Physician Compensation Governance: Building a Good Foundation

Fair Market Value: Assessing Compensation Arrangements in the Healthcare Industry

Do Hospitals that Employ their Physicians Need a Community Need Assessment?

Cyber Criminals are Targeting Telemedicine Visits

Navigating the Digital Transformation Maze in Healthcare

Insights from the 2024 Becker's IT + Digital Health + RCM Conference

Case Study: Leveraging Technology During a Pandemic

Understanding and Preventing Physician Burnout

Compliance Risk Mitigation in Healthcare Mergers & Acquisitions

Provider Compensation Management: Solving the Compensation Conundrum

COVID-19 Pandemic Exposes Vulnerabilities in Healthcare Organizations (Part 2)

Is Your Healthcare IT Up To Par? Why IT Assessments are Beneficial

AAPCP Launches New CPCV Credential to Set Standards in Provider Compensation Valuation

CPCV Credential Empowers Healthcare Organizations with Data-Driven Compensation Strategy through Certified Experts

Clinical Integration: The First Step in Moving Toward Value-Based Reimbursement

Trinity Hunt Partners Establishes Healthcare Advisory Platform with Investment in Coker

Trinity Hunt will work closely with Coker’s skilled team to facilitate expansion.