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Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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February 5, 2023

How old is your oldest CPT book

My, how CPT® has grown

Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it?  Page down: a summary chart is below.

First, some of you save everything. I’d love to see your office shelves. There are coders out there who have books from the 80s and the 90s. Wow.

Second, the rate of growth really took off between 2010 and 2020. Medical science adds new procedures and the AMA gives them all a new code. Seriously, the book’s a monster. I should have added a question: how many of you use the book as your primary source and how many use electronic access.  Next time.

As long as I’m on the subject of CPT®, may I just say how difficult it is to use the book version with all of the out of sequence codes.

And, a more serious pet peeve, why can’t the AMA and CMS get on the same page with practitioner terminology? “Other qualified health care professional” and “non-physician practitioner.” And, could the new terminology please have a specific term for “clinicians who have E/M in their scope of practice” that distinguishes physicians, midwives, advance practice nurses and physician assistants from psychologists, social workers, physical therapists, occupational therapists, nutritionists and dieticians. Have I left anyone out? And, could CPT® give us a listing of what professionals they include in “qualified health care professional” and “other qualified nonphysician health care professional?” I’d be so grateful.  And, if you have a CPT® listing, please, forward it along.

And in case you were wondering, the 2023 CPT Professional ed. is 1,284 pages, just a bit longer than 2022.

Survey results

CPT book year it’s length
1985 450
1988 484
1996 525
1997 539
2006 664
2010 643
2011 792
2012 812
2013 885
2014 940
2015 965
2016 998
2017 1,026
2018 1,038
2019 1,094
2020 1,126
2021 1,196
2022 1,268

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CPT is a registered trademark of the American Medical Association Copyright 2022, American Medical Association All rights reserved.

Last revised January 3, 2023 - Betsy Nicoletti
Tags: Code sets and reimbursement

CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

2023 E/M reference sheets

These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. And, a bonus sheet with typical time for those code sets. Sign up for Betsy’s monthly newsletter to download these reference sheets and share them with your practitioners.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

Watch it now

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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