2023 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2022-Coding Preview 2023 EM Changes

Pdf Summary

The document discusses changes to Evaluation and Management (E/M) codes and billing rules that will take place in 2023. The key changes include the transition to new E/M code descriptors, the use of total time for E/M code selection, and the focus on medical necessity and medical decision-making complexity for documentation. The document also provides information on the use of time to document encounters, the changes to hospital inpatient and observation care codes, and the minimum time thresholds for hospital visits and inpatient consultations.<br /><br />There are also discussions on other E/M services, such as emergency department visits and SNF codes, as well as prolonged services and medical decision-making matrix. The document highlights the inclusion of social determinants of health in documentation and coding, as well as the changes to ICD-10 codes related to social determinants of health.<br /><br />The document emphasizes the importance of E/M revenue repair, suggesting options such as billing for level 5 services, chronic care management, and care plan oversight. It also mentions billing codes for visit prior to screening colonoscopy and remote physiologic monitoring.<br /><br />Overall, the document provides an overview of the upcoming changes to E/M codes and offers suggestions for maximizing revenue through E/M services and other billing opportunities.

Asset Subtitle

Glenn D. Littenberg, MD, MACP, FASGE

Keywords

E/M codes

billing rules

2023 changes

total time

medical necessity

medical decision-making

ICD-10 codes

revenue repair

chronic care management

billing opportunities