What’s New In 2023
In alignment with the Office and Outpatient Evaluation and Management (E/M) Coding Guidelines changes that were effective January 1, 2021, the following code sets were revised effective January 1, 2023:
- Non-Office E/M codes (99221-99223, 99231-99239)
- Consultation codes (99242-99245, 99252-99255)*
- Emergency Department codes (99281-99285)
- Nursing Facility Service codes (99304-99310, 99315, 99316)
- Home or Residence Service codes (99341, 99342, 99344, 99345, 99347-99350)
Except for Emergency Department codes (99281-99285), providers may choose the appropriate E/M level of care based on either Time or Medical Decision Making (MDM). Emergency Department codes (99281-99285) use only MDM to determine level of care.
Please see the Documentation Guidelines for E/M Services 2023 for additional details on how to correctly report these services.
2023 Resource links
*Please refer to Reimbursement Policy RP-063 for additional information related to Consultation Services.
2021 Office And Outpatient Evaluation And Management Resources
Prior To 2021 Evaluation And Management Resources
(Note: These guidelines will not be in effect for any E/M services as of January 1, 2023.)
Below you will find the Documentation Guidelines that were effective prior to 2021 for office and outpatient E/M services and effective prior to 2023 for all other E/M services:
Last updated on 3/9/2023 9:51:24 AM