Evaluation and management (E/M) services are cognitive (as opposed to procedural) services in which a physician or other qualified healthcare professional diagnoses and treats illness or injury. Nearly all physicians provide E/M services, however most services that infectious diseases physicians provide are of the E/M type. Appropriate documentation and coding of E/M services are vital to capturing the medical services provided to infectious diseases patients and therefore are also vital for appropriate reimbursement and compensation. IDSA has curated resources for ID physicians and their staff to assist in a better understand E/M coding.
2023 E/M Inpatient Code Changes: IDSA Resource Guide
In this webinar, Drs. Amy Kressel, Ron Devine, and Timothy Sullivan of the IDSA Payment Policy Work Group go over the new 2023 E/M Inpatient Code changes. They cover definitions of the various elements of medical decision making (MDM) and walk through clinical examples that follow a single ID patient case, from a minor problem with a low level of MDM as it progresses to the highest level of MDM. This webinar references the IDSA E/M Resource Guide, which can be found here.
2023 Evaluation and Management Services Reference Guide
Over the last two years, the Centers for Medicare & Medicaid Services has made significant revisions to evaluation and management services. This reference guide, prepared specifically for infectious diseases physicians and their staff, provides education on these important changes and information to assist ID physicians in choosing a CPT® code that best reflects the E/M services provided to a patient. The initial version of this guide was created in 2021 to address changes in outpatient E/M codes that were implemented in 2022. This updated version of the guide expands on the initial version by addressing new inpatient E/M coding changes for 2023.
The guide covers definitions of the various elements of medical decision making (MDM) and the clinical examples follow a single patient case, from a minor problem with a low level of MDM as it progresses to the highest level of MDM, indicating the elements that led to the code that was chosen.
Frequently Asked Questions: IDSA Evaluation and Management CPT Coding Guide
IDSA has prepared an FAQ that answers questions around the new E/M code changes.
Evaluation and Management Resources
- Office/Outpatient Evaluation and Management Services Reference Guide
- Office/Outpatient E/M Services FAQs
- Office and Outpatient E/M Webinar
- CPT® Evaluation and Management
- Revisions to the CPT E/M Office Visits: New Ways to Report Using Time
- Revisions to the CPT E/M Office Visits: New Ways to Report Using Medical Decision Making (MDM)
- Implementing CPT Evaluation and Management Revisions
- Medicare Evaluation and Management Services Guide
Used with permission of the American Medical Association. CPT Professional 2023 and E/M Companion 2023 Bundle. American Medical Association (AMA). https://bookshelf.vitalsource.com/books/A23BPL0007. ©Copyright American Medical Association 2023. All rights reserved.