Navigating the 2023 CPT, ICD-10, and Payer Changes

The Current Procedural Terminology (CPT) code set is a medical coding system used to report medical, surgical, and diagnostic procedures and services. The International Classification of Diseases, 10th Edition (ICD-10) is a medical coding system that is used to report diagnoses and other health-related information. Both of these code sets are updated on a regular basis to reflect changes in medical practices and technology.

In 2023, several CPT and ICD-10 code sets will be updated. These updates may include the addition of new codes, the deletion or modification of existing regulations, and changes to the way codes are used.

One significant change to the CPT code set in 2023 will be the introduction of new codes for telehealth services. These codes will reflect the growing use of telehealth in the delivery of medical care and will allow providers to report telehealth services accurately.

There may also be updates to the ICD-10 code set in 2023, including the addition of new codes for emerging diseases and conditions, as well as updates to existing codes to reflect changes in medical terminology and practices.

In addition to updates to the 2023 CPT ICD-10 and payer code sets, (e.g. insurance companies) may also make changes to their policies and procedures in 2023. These changes may include updates to reimbursement rates, coverage policies, and prior authorization requirements.

It is important for healthcare providers and organizations to stay up-to-date on these updates in order to ensure accurate coding and billing and to comply with payer requirements. Failure to do so can result in denied claims, reduced reimbursement, and other issues.