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    Patent Pending

    2023 Emergency Medicine Coding Guide

    Rates level of service required in emergency medicine.

    INSTRUCTIONS

    This guide reflects the 2023 AMA CPT Evaluation and Management (E/M) coding changes for Emergency Medicine. Definitions have been simplified and are based on the full coding guideline available here.

    Click the Copy MDM button in the results box below to paste the narrative MDM (web only).

    When to Use
    • Use this tool to assist in determining the correct level of medical decision making (MDM) for your patient. 
    • Only 2 of the 3 sections need to be completed to determine the MDM, which correlates with level of service (LOS).
    Number and Complexity of Problems
    5: chronic illness w/severe exacerbation (a)
    5: illness/injury w/life or body threat (b)
    4: chronic illness with exacerbation (c)
    4: ≥2 stable, chronic illnesses (d)
    4: undiagnosed new problem, uncertain outcome (e)
    4: acute illness w/systemic sx (f)
    4: acute, complicated injury (g)
    3: 2 minor problems (h)
    3: 1 stable, chronic illness (i)
    3: acute uncomplicated illness/injury (j)
    3: stable, acute illness (k)
    3: uncomplicated illness/injury requiring hospitalization (l)
    2: 1 minor problem (m)
    Risk of Morbidity, Mortality, or Complications
    High
    Moderate
    Low
    Minimal
    Amount and/or Complexity of Data
    ≥3
    2
    1
    0
    ≥3
    2
    1
    0
    ≥3
    2
    1
    0
    No
    Yes
    No
    Yes
    No
    Yes

    Result:

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