2023 CPT Evaluation and Management Coding Changes
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Join ConferencePanel for a 60-minute live webinar where we will discuss the crucial updates on the 2023 CPT Evaluation and Management coding changes recently published by the American Medical Association. The purpose of this webinar is to provide an in-depth review of all the Evaluation and Management codes that were modified, deleted, revised, and newly established, and how they will impact medical coding billing and proper claims documentation. – PowerPoint PPT presentation
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Title: 2023 CPT Evaluation and Management Coding Changes
- By Kate Gilman, CPC, CPCO
- Phone 410-404-7464
- Email kateg_at_medicalworldsolutions.com
- Website https//medicalworldsolutions.com
- Review deleted codes for Hospital Observation
services.
- Review revised codes for Hospital Inpatient and
Observation care services guidelines.
- Review deleted Consultation codes.
- Review revised Emergency Department services
codes and guidelines.
- Review deleted codes for Nursing facility
services.
- Review revised codes for nursing facility
services and guidelines.
- Review deleted Domiciliary, Rest home or
custodial care services codes.
- Review deleted codes for Home or Residence
services.
- Review revised codes for Home or Residence
services and guidelines.
- 99217- Observation care discharge day
management - DELETED.
- 99218- Initial observation care, per day, low
complexity- DELETED.
- 99219- Initial observation care, per day,
moderate complexity- DELETED.
- 99220- Initial observation care, per day, high
complexity- DELETED.
- 99224- Subsequent observation care, per day, low
complexity- DELETED.
- 99225- Subsequent observation care, per day,
moderate complexity- DELETED.
- 99226- Subsequent observation care, per day, high
complexity- DELETED.
- Instead of 99218, 99219, 99220
- 99221- Initial hospital care, per day, low
complexity
- 99222- Initial hospital care, per day, moderate
complexity
- 99223- Initial hospital care, per day, high
complexity
- These codes are used to report consultations that
are provided in the office or other outpatient
site, including the home or residence, or
emergency department.
- These codes are used to report evaluation and
management services to patients in nursing
facilities and skilled nursing facilities.
- Place of service should indicate the type of
facility where the service is performed.
- 99315- Nursing facility discharge management 30
minutes or less total time on the date of the
encounter
- 99316- more than 30 minutes total time on the
date of the encounter
- 99334- Domiciliary or rest home visit for the
evaluation and management of an established
patient, straightforward complexity- DELETED
- 99335-Domiciliary or rest home visit for the
evaluation and management of an established
patient, low complexity- DELETED
- 99336- Domiciliary or rest home visit for the
evaluation and management of an established
patient, moderate complexity- DELETED
- 99337- Domiciliary or rest home visit for the
evaluation and management of an established
patient, high complexity- DELETED
- 99339 and 99340- Individual physician supervision
of a patient (patient not present) in home,
domiciliary or rest home (eg, assisted living
facility) requiring complex and multidisciplinary
care modalities- DELETED
- Private residence
- Temporary lodging
- Short-term accommodations
- Assisted living facility
- Group home
- Residential substance abuse treatment facility
- 99354- Prolonged service(s) in the outpatient
setting requiring direct patient contact beyond
the time of the usual service first hour DELETED
- 99355- Prolonged service(s) in the outpatient
setting requiring direct patient contact beyond
the time of the usual service each additional 30
minutes DELETED
- 99356- Prolonged service in the inpatient or
observation setting, requiring unit/floor time
beyond the usual service first hour DELETED
- 99357- Prolonged service in the inpatient or
observation setting, requiring unit/floor time
beyond the usual service each additional 30
minutes DELETED
- 99417 Prolonged outpatient evaluation and
management service(s) time with or without direct
patient contact beyond the required time of the
primary service when the primary service level
has been selected using total time, each 15
minutes of total time- outpatient setting
- 993X0 Prolonged inpatient or observation
evaluation and management service(s) time with or
without direct patient contact beyond the
required time of the primary service when the
primary service level has been selected using
total time, each 15 minutes of total time-
inpatient setting
