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.
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When to Use
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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