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Start your look-ahead to CY 2023: Payment cuts are coming, significant changes to E/M services are finalized and key reporting revisions are hitting telehealth and audio-only services, according to the final 2023 Medicare physician fee schedule released today.
 
Proposed payment cuts that drew vocal criticism from physician advocacy groups will move forward as planned, as CMS announced a 4.5% reduction to the CY 2023 Medicare Part B conversion factor (CF), effective Jan. 1.
 
Practices can expect nearly 400 code changes in their 2023 CPT manuals, including 224 new codes, 93 revised and 74 deleted codes.
 
The highly anticipated update to the E/M guidelines and facility-based codes, home visits, consults and prolonged services accounts for one new code, 49 code revisions and 25 deletions. The AMA previously announced a major portion of the E/M coding and documentation changes in July. Now that the rest of the 2023 updates are public, take note of numerous other changes scattered throughout the 2023 manual ... 
 
 
Payment cuts are in the offing for Part B providers in 2023, along with a series of other projected changes targeting E/M services, COVID-related billing flexibilities and value-based care, according to the proposed 2023 Medicare physician fee schedule released today.
 
After legislative reprieve buoyed fees in 2022, CMS again is taking a hack at its primary rate-setting mechanism. The proposed 2023 conversion factor is $33.08, down $1.53, or 4.4%, from the current-year conversion factor of $34.61, according to the 2,066-page proposed rule.
 
The AMA set off its own fireworks during the Independence Day weekend with the early release of new E/M guidelines that will be included in the 2023 CPT manual and take effect Jan. 1, 2023.
 
 
Industry experts and coders alike will be pleased to see the inclusion of 69 new codes to further identify the stage of severity, as well as behavioral and psychological symptoms of dementia (BPSD).
 
These were included as part of the 1,176 new codes released June 10 with the FY2023 ICD-10 final code update. The code update also includes two hundred Tabular and Alpha Index changes. The CDC has also posted the FY2023 guidelines along with the code update. These changes will take effect Oct. 1.
 

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