AMA Releases CPT® 2023 Code Set
The American Medical Association (AMA) released the 2023 CPT® code set on September 9, 2022. This code set expands upon the long-awaited modifications to E/M services for other than outpatient and office encounters, as well as several other highly anticipated changes.
A total of 10,969 codes are available for 2023. 393 editorial changes were made for the 2023 code set, including 225 new codes, 75 deletions, and 93 revisions. According to the AMA, “the CPT code set continues to grow and evolve with the rapid pace of innovation in medical science and health technology.” Of interest are:
- Addition of new codes for percutaneous AV fistula creation
- Single access – 36836
- Separate access – 36837
- Re-structuring of hernia codes
- Deletion of codes 49560-49590, 49652-49657
- Addition of new codes for anterior abdominal hernias (incisional, epigastric, umbilical and spigelian) – 49591-49618
- Any approach (open, laparoscopic, robotic)
- Initial vs recurrent
- Implantation of mesh or other prosthesis when performed
- Size in cm
- Reducible/incarcerated/strangulated
- Addition of new codes for parastomal hernias – 49621-49622
- Any approach (open, laparoscopic, robotic)
- Initial vs recurrent
- Implantation of mesh or other prosthesis when performed
- Reducible/incarcerated/ strangulated
- Addition of new code for removal of total or near total non-infected mesh at the time of the hernia repair – 49623
In addition, a new Appendix has been added to the CPT® code set for Artificial Intelligence Taxonomy for Medical Services and Procedures (Appendix S). This classification provides guidance which groups various artificial intelligence (AI) into three categories: assistive (work performed by the machine detects relevant clinical data without analysis or clinical conclusions); augmentative (work performed by the machine analyses and/or qualifies data in a clinically meaningful way); and autonomous (work performed by the machine automatically interprets data without provider involvement).
