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Come April 1, coders will have additional code options to further capture social determinants of health (SDOH) and abuse and neglect, as CDC released upcoming changes to both the code set and official guidelines on Jan. 9.
 
 
On the heels of the omnibus spending bill that President Biden signed into law Dec. 29, CMS has posted a revised conversion factor of $33.8872, replacing the $33.0607 amount originally released with the final 2023 Medicare physician fee schedule.
 
In what looks to be the last iteration of Congress’ year-end appropriations bill for 2023, the daunting 4.5% conversion factor cut to Medicare providers’ reimbursement has been slightly eased with a 2.5% increase to 2023 rates and a 1.25% increase to 2024 rates – trimming but not totally erasing the drop to about 2% for CY 2023.  
 
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 ... 
 
 

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