2023 new CPT codes released by AMA- Part 1

The new year 2023 will have many additional CPT codes in the codebook. The CY 2023 updates include 102 new codes, 68 deleted codes, and 87 codes with revised long descriptions. The updates are effective beginning January 1, 2023.

Evaluation and Management

The Evaluation and Management (E/M) section has one addition, 26 deletions, and 50 revisions for 2023. A new add-on code (99418) describes prolonged inpatient or observation E/M services. Many observation codes are deleted due to the consolidation of inpatient and observation E/M codes in CY 2023. The other deleted codes include domiciliary or rest home and prolonged service codes.
The revisions include the following:

Clarifying hospital E/M codes to include “inpatient or observation” care due to the consolidation of inpatient and observation codes in 2023.
Replacing the wording describing a detailed or comprehensive history and examination with a “medically appropriate history and/or examination.”
Changes to the total time to meet when using time for code selection.
On hospital discharge day management codes, the words “on the date of the encounter” have been added for clarification.
Office consultation codes have been revised to include “other outpatient” consultation services.
An emergency department E/M code has been revised to include services that may not require the presence of a physician or other qualified healthcare professional.
Home visit codes have been revised to include “residence” as a place of service.
Minor clarifying word changes have been made to the prolonged outpatient E/M service add-on code.
Interprofessional telephone/internet/EHR assessment and management consult service codes have been revised to include “other qualified health care professional” when referring to the consultant.
Minor clarifying word changes have been made to the transitional care management service codes.

Table of Contents

Surgery

Coding updates in the surgery section include the following systems: integumentary, musculoskeletal, respiratory, cardiovascular, digestive, urinary, male genital, and nervous.

Integumentary System

There are three new codes in the integumentary system section, plus one deletion and one revision:

Code 15778 describes the implantation of absorbable mesh or another prosthesis for delayed closure defects.
Codes 15853 and 15854 describe the removal of sutures or staples not requiring anesthesia.
Code 15850, describing the removal of sutures under anesthesia, has been deleted.
Code 15851 has been revised to include the removal of staples.

Musculoskeletal System

One new add-on code (22860) in the musculoskeletal system section describes a total disc arthroplasty and discectomy to prepare an interspace. Codes 22857 and 27280 have minor revisions to their long descriptors.

Respiratory System

One new respiratory system code (30469) describes repairing a nasal valve collapse using temperature-controlled remodeling.

Cardiovascular System

There are seven new codes in the cardiovascular section and one revision:

Codes 33900–33904 describe percutaneous pulmonary artery revascularization by stent replacement.
Codes 36836 and 36837 describe a percutaneous arteriovenous fistula creation of an upper extremity.
Code 35883 has a revision to the example listed within the long descriptor.

Digestive System

The digestive system section includes 17 new codes and 18 deletions:

Codes 43290 and 43291 describe an esophagogastroduodenoscopy with the deployment or removal of an intragastric bariatric balloon.
Codes 49591-49596 and 49613-49618 describe the repair of an anterior abdominal hernia, including the implantation of mesh or another prosthesis.
Codes 49621-49623 describe the repair of a parastomal hernia, including the implantation of mesh or other prosthesis or the removal of a non-infected mesh or prosthesis (49623).
All 18 deleted codes in this section describe the repair of various types of hernias.

References:

https://www.healthcatalyst.com/insights/new-cpt-codes-2023