Proposed Physician Fee Schedule Approves E/M Remake

HealthLeaders Media July 21, 2022
Amanda Norris

The recently released 2023 Medicare physician fee schedule proposed rule featured physician payment decreases, but it also essentially gave the go-ahead for code updates.

By and large, in the 2023 physician fee schedule proposed rule, CMS is giving the go-ahead to align its billing requirements with recent evaluation and management (E/M) guideline changes put forth by the American Medical Association (AMA) that would integrate the full family of E/M services with the guidelines that currently govern office visit codes 99202-99215, according to Part B News.

That means “other” E/M services codes would adhere to the office visit guidelines that allow code level selection to be determined by medical decision-making or time, according to the agency, the history and exam elements...

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