Coding & Reimbursement

Coding and Reimbursement Services

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

Resources

Evaluation & Management Services Changes

2021 Office and Outpatient Evaluation & Management Services Changes

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.