E/M changes for Emergency Department 2023

Effective January 1, 2023, AMA has announced the following changes in Evaluation and Management (E/M) Code and Guidelines for 2023.

E/M Introductory Guidelines related to Hospital Inpatient and Observation Care Services codes 99221-99223, 99231-99239, Consultations codes 99242- 99245, 99252-99255, Emergency Department Services codes 99281-99285, Nursing Facility Services codes 99304-99310, 99315, 99316, Home or Residence Services codes 99341, 99342, 99344, 99345, 99347-99350.
Deletion of Hospital Observation Services E/M codes 99217-99220.
Revision of Hospital Inpatient and Observation Care Services E/M codes 99221-99223, 99231-99239, and guidelines.
Deletion of Consultations E/M codes 99241 and 99251.
Revision of Consultations E/M codes 99242-99245, 99252-99255, and guidelines.
Revision of Emergency Department Services E/M codes 99281-99285 and guidelines.
Deletion of Nursing Facility Services E/M code 99318.
Revision of Nursing Facility Services E/M codes 99304-99310, 99315, 99316 and guidelines.
Deletion of Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services E/M codes 99324-99238, 99334-99337, 99339, 99340.
Deletion of Home or Residence Services E/M code 99343.
Revision of Home or Residence Services E/M codes 99341, 99342, 99344, 99345, 99347-99350 and guidelines.
Deletion of Prolonged Services E/M codes 99354-99357.
Revision of guidelines for Prolonged Services E/M codes 99358, 99359, 99415, 99416.
Revision of Prolonged Services E/M code 99417 and guidelines.
Establishment of Prolonged Services E/M code 993X0 and guidelines.

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