March 16, 2023

Question:
In 2023 will the level of service be determined by history, exam and medical decision making or will this change. I have heard it is changing.

Answer:
Beginning January 1, 2023 consultation codes 99242-99255) for both inpatient and outpatient services will be based on medical decision making or time. However, keep in mind a clinically relevant history and clinical examination should also be documented. Also consultation codes 99241 and 99251 have been deleted.

*This response is based on the best information available as of 03/16/23.