![]() ![]() Hospital Observation Services E/M codes deleted and inpatient Hospital Services E/M codes revised to include Observation Care Services:.History and exam no longer used to select the level of code.Time spent by the practitioner includes face-to-face and non-face-to-face time.The level of the MDM as defined for each service.Level of E/M services will be based on the following:.The goal of the updated guidelines for coding and documenting E/M services is to make coding and documenting E/M services easier for medical practices and other facilities. ![]() 2023 E/M Code Updates Reduce Documentation Burden The new E/M guidelines for 2023 build on the flexibilities of the 2021 office/outpatient E/M coding and documentation rules. This was a major departure from the previous guidelines that required them to address three elements in the patient’s progress notes: patient history, physical exam and medical decision making for code selection). The existing 2021 guidelines implemented by the Centers for Medicare & Medicaid Services (CMS) and the American Medical Association (AMA) allow healthcare providers to document E/M visits based on medical decision-making (MDM) or total time. The updated E/M guidelines for 2023 aim to simplify and streamline coding and documenting for E/M services and are being welcomed by physicians and providers of medical billing and coding services. Understanding how to properly document and code these high-volume services is important as even small mistakes in E/M coding can result in major compliance and payment issues. The American Medical Association (AMA) has released CPT® Evaluation and Management (E/M) Code and Guideline Changes that will go into effect JanuEvaluation and Management (E/M) services include office visits, hospital visits, home services, and preventive medicine services.
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