AMA Released the 2023 CPT Code Set
The American Medical Association released the 2023 CPT code set which includes burden-reducing revisions, a driver of burnout and a central pillar of its Recovery Plan for America’s Physicians. The new modifications make coding and documentation easier and more flexible for other E/M services, freeing physicians and care teams from time-wasting administrative tasks that are clinically irrelevant to providing high-quality care to patients. The new modification to the E/M codes extend to inpatient and observation care services, consultations, emergency department services, nursing facility services, home and residence services, and prolonged services.Modifications to the E/M codes are among 393 editorial changes in the 2023 CPT code set, including 225 new codes, 75 deletions and 93 revisions. With 10,969 codes that describe the medical procedures and services available to patients, the CPT code set continues to grow and evolve with the rapid pace of innovation in medical science and health technology.
The AMA has developed an extensive online resource library of videos, guides, and educational modules to help with the transition to the revised E/M codes and guidelines. Please visit the Implementing CPT Evaluation and Management (E/M) revisions web page for a complete list of AMA resources.
Responding to the fast pace of innovation, a new appendix has been added to the 2023 CPT code set with a taxonomy for artificial intelligence/augmented intelligence (AI) applications. The new AI taxonomy provides guidance for classifying various AI-powered medical service applications, such as expert systems, machine learning, or algorithm-based solutions, into one of three categories: assistive, augmentative, or autonomous.
The list of CPT codes for remote monitoring services continues to grow with the addition of a new code to report cognitive behavior therapy monitoring (98978) beyond the walls of a medical practice for a range of physical and mental health disorders.
The AMA invites the health care community to stay up to date on the significant CPT code changes for 2023 by attending two virtual events this November, the Outpatient CDI Workshop and the CPT and RBRVS Annual Symposium. Meeting agendas and registration are available on the AMA website.
For more information:
- A special section for CPT education has been created for the AMA Ed Hub™, an online learning platform containing CME and education, including a module series covering an overview of CPT coding basics and other topics: https://www.ama-assn.org/press-center/press-releases/ama-new-2023-cpt-code-set-includes-burden-reducing-revisions?utm_source=SFMC&utm_medium=email&utm_term=992022
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- The 2022 OB/GYN Coding Manual: Components of Correct Coding is now available.
- ACOG’s OB/GYN Coding Manual is the primary billing and coding resource for obstetricians, gynecologists, and their staff. The 2022 expanded edition incorporates instruction from our Diagnostic Coding for Obstetricians and Gynecologists booklet and includes new sections on Evaluation and Management, Telehealth, and COVID-19.
The manual is divided into 3 parts: A section offering guidance on various coding topics, code pages that include 2022 relative value units and coding tips, and appendices that include printable tables for the quick reference of the coding guidelines in this manual.
The manual follows established CPT guidelines and includes Medicare guideline information for accurately reporting medical procedures. It represents the expert opinions of ACOG staff and members of the ACOG Committee on Health Economics and Coding (CHEC) about the specific services included (or not included) in each ob-gyn procedure code listed.
Text and guidance are based on the following:- The CPT code vignettes and relative value units (RVUs)
- Definitions of the global surgical package
- Bundling rules for global surgical packages
- Exceptions to the global package bundling rules
- CPT’s global obstetric package