Coding Tip of the Month: August 2022
Providers can now bill for total time spent on both face-to-face and non-face-to-face activities for office and outpatient evaluation and management services (with some exceptions). Be sure to document the time spent on the service and corresponding activities in the note to support the E/M service selected. For more information on selecting an E/M service based on time, see the ASCO resource “2021 Evaluation and Management Changes: Selecting a Code Based on Time”.
Coding and Reimbursement News
Important Updates to Evaluation and Management Services in 2023
The American Medical Association has released the new guidelines for Evaluation and Management (E/M) services which will go into effect on January 1, 2023. The guidelines have been updated to bring all the services in line with the 2021 Evaluation and Management changes to office and outpatient E/M CPT codes. Learn more.
More information regarding CMS’ take on the 2023 E/M changes can be found in the 2023 MPFS (Medicare Physician Fee Schedule) Proposed Rule. See ASCO’s summary.
Additional information and resources on the changes will be available—check back frequently for updates.
Coding and Reimbursement Updates
- NEW - 2022 HCPCS Update - 3rd Quarter
- NEW - 2023 ICD-10-CM updates
- 2022 HCPCS Update - 2nd Quarter
- 2022 HCPCS Update - 1st Quarter
- 2022 Coding Updates
Resources
- UPDATED - Split/Shared E/M Services
- UPDATED - Coding Tip of the Month Archive
- NEW - Coding and Reporting Social Determinants of Health
- Advance Care Planning
Evaluation & Management Services Changes
2021 Office and Outpatient Evaluation & Management Services Changes
- ASCO’s Guide to 2021 Evaluation & Management Changes (Updated)
- 2021 E/M Changes Updates and Clarifications
- Webinar: Prolonged Evaluation and Management Services
- Changes to Evaluation and Management Codes in 2021
- 2021 Evaluation and Management Changes: Selecting a Code Based on Time
- 2021 Evaluation and Management Changes: New Prolonged Services Code
- Selecting an E/M Code Based on Medical Decision Making in 2021
Coding & Reimbursement Questions?
ASCO members can submit inquiries related to coding, reimbursement, or coverage via email. ASCO staff will respond to your question in a timely manner.