BC Advantage - 2023 Issue 1

The Role of the History and Examination in 2023 Evaluation and Management Services

While listening to the virtual AMA CPT/RBRVS Annual Symposium lecture by Gift Tee, BS, MPH, Director of the Division of Practitioner Services in the Hospital and Ambulatory Policy Group (HAPG) of CMS on the Update from Centers for Medicare and Medicaid Services (CMS), I was struck by something he said about the revisions to the coding and documentation framework for Evaluation and Management (E/M) Services for the 2023 CPT code descriptors.His presentation indicated the revised coding and documentation framework for the 2023 revisions to E/M services, including the "elimination of history and exam to determine code level" that...

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