Physicians Practice September 7, 2023
Renee Dowling

New diagnosis definitions for the 2023 E/M codes.

Q: Can you please review the 2023 Evaluation and Management (E/M) new diagnoses definitions for medical decision making? I am learning to review charts, and I want to make sure that I’m interpreting these correctly.

A: Starting January 1st, 2023, providers must follow the 2023 Evaluation and Management (E/M) guidelines for dates of service across all places of service, including inpatient, observation, discharge, and consultation E/M services based on either time or medical decision making. We’ll focus on medical decision-making (MDM) for selecting a service level.

The MDM elements associated with E/M services consists of three components:

  1. Diagnosis(es) – The number and complexity of diagnosis(es) addressed at the visit.
  2. Data –...

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