The information in this article applies to services provided on and after January 1, 2023.
The codes discussed in this article are reported only for services provided to patients who receive services during an ED visit. Current Procedural Terminology (CPT®) defines an ED as a hospital-based facility for the provision of unscheduled episodic services to patients presenting for immediate medical attention and that is open 24 hours a day.
In 2023, code descriptors for 99281–99285 will change.
As in 2022, time will not be used in code selection for E/M services provided in the ED.
The revised ED visit codes have been assigned relative value units (RVUs) by the American Medical Association/Specialty Society Relative Value Scale Update Committee. Table 1 provides the RVUs assigned and the level of MDM required for each code.
The level of MDM determines the code reported for ED visits. As...