2023 CPT Code Updates

Version 21.0
Path: Clinical or Billing tab > Procedure (CPT) Codes

As of the release of OP 21.0.9, the 2023 CPT code set released by the American Medical Association (AMA) is available in OP. The additions and changes are effective for reporting as of January 1, 2023, unless otherwise noted.

2023 CPT Code Additions

CPT CodeShort Description
40 character limit
Long Description
101 character limit
76883ULTRASOUND, NERVE(S) ULTRASOUND, NERVE(S) AND ACCOMPANYING STRUCTURES, PER EXTREMITY
15853REMOVAL OF SUTURES OR STAPLESREMOVAL OF SUTURES OR STAPLES NOT REQUIRING ANESTHESIA
15854 REMOVAL OF SUTURES AND STAPLES REMOVAL OF SUTURES AND STAPLES NOT REQUIRING ANESTHESIA
33900 PPAR BY STENT, INITIAL, UNILATERAL PPAR BY STENT PLACEMENT, INITIAL; NORMAL NATIVE CONNECTIONS, UNILATERAL
33901 NORMAL CONNECTION, BILATERAL NORMAL NATIVE CONNECTIONS, BILATERAL
33902 ABNORMAL CONNECTIONS, UNILATERAL ABNORMAL CONNECTIONS, UNILATERAL
33903 ABNORMAL CONNECTIONS, BILATERAL ABNORMAL CONNECTIONS, BILATERAL
33904 PPAR BY STENT, ADDITIONAL PPAR BY STENT PLACEMENT, EACH ADDITIONAL VESSEL OR SEPARATE LESION, NORMAL OR ABNORMAL CONNECTIONS
99417PROLONGED OUTPATIENT E&M SVC. PROLONGED OUTPT. E&M BEYOND REQUIRED TIME OF PRIMARY SVC. LEVEL SELECTED BY TOTAL TIME, EACH +15MIN

2023 CPT Code Edits

CPT CodeShort Description
40 character limit
Long Description
101 character limit
OP Previous Description
101 character limit
99221INITIAL HOSPITAL INPATIENT OR OBSV. CAREINITIAL HOSP CARE 2 KEY COMPONENTS: MEDICALLY APPR. HX. AND/OR EXAM & STRAIGHTFWD OR LOW MDM.INITIAL HOSP CARE 3 KEY COMPONENTS:DETAIL/COMPREHENSV
99222INITIAL HOSPITAL INPATIENT OR OBSV. CAREINITIAL HOSP CARE 2 KEY COMPONENTS: MEDICALLY APPR. HX. AND/OR EXAM AND MODERATE MDM.INITIAL HOSP CARE 3 KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISION MOD COMPLEX
99223INITIAL HOSPITAL INPATIENT OR OBSV. CAREINITIAL HOSP CARE 2 KEY COMPONENTS:MEDICALLY APPR. HISTORY AND/OR EXAM & HIGH MDM.INITIAL HOSP CARE 3 KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISION HIGH COMPLEX
99231SUBSQNT. HOSPITAL INPT. OR OBSV. CARESBSQ HOSP CARE 2+ KEY COMPONENTS:MED APPR HX;AND/OR EXAM AND STRAIGHTFWD/LOW MDMSUBSEQUENT HOSP CARE 2+ KEY COMPONENTS:PROB FOCUS INT HX;PROB FOCUS EXAM;MED DEC STRTFWD/LOW COMPLEX
99232SUBSQNT. HOSPITAL INPT. OR OBSV. CARESBSQ HOSP CARE 2+ KEY COMPONENTS:MED APPR HX;AND/OR EXAM AND STRAIGHTFWD/MODERATE MDMSUBSEQUENT HOSP CARE 2+ KEY COMPONENTS:EXPAND PROB FOCUS INT HX;EXPAND PROB EXAM;MED DEC MOD COMPLEX
99233SUBSQNT. HOSPITAL INPT. OR OBSV. CARESBSQ HOSP CARE 2+ KEY COMPONENTS:MED APPR HX;AND/OR EXAM AND STRAIGHTFWD/HIGH MDMSUBSEQUENT HOSP CARE 2+ KEY COMPONENTS: DETAILED INTERVL HX; DETAILED EXAM;MED DECISION HIGH COMPLEX
99234HOSPITAL INPATIENT OR OBSERVATION CAREOBSV/INPT HOSP CARE+ ADMT & DSCHRG SAME DATE + MEDICALLY APPR. HX. &/OR EXAM & STRAIGHTFWD / LOW MDM.OBSV/INPT HOSP CARE 3 KEY COMPONENTS: DETAIL/COMPR HX; DETAIL/COMPR EXAM;MED DEC STRTFWD/LOW COMPLEX
99235HOSPITAL INPATIENT OR OBSERVATION CAREHSPTL INPT./OBSV. CARE E&M , + ADMSN/DSCHRGE-SAME DATE + MEDICALLY APPR. HX. &/OR EXAM & MOD MDM.OBSV/INPT HOSP CARE 3 KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISION MOD COMPLEX
99236HOSPITAL INPATIENT OR OBSERVATION CAREOBSV/INPT HOSP CARE, W/ ADMSSN & DSCHRGE-SAME DATE, + MEDICALLY APPR. HX. AND/OR EXAM & HIGH MDM.OBSV/INPT HOSP CARE 3 KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISION HIGH COMPLX
99238HOSPITAL INPT. OR OBSV DISCHARGE DAY MNGHOSPITAL INPT. OR OBSERVATION DISCHARGE DAY MANAGEMENT; UP TO 30 MIN ON THE DATE OF THE ENCOUNTERHOSPITAL DISCHARGE DAY MANAGEMENT; UP TO 30 MIN
99239HOSPITAL INPT. OR OBSV DISCHARGE DAY MNGHOSPITAL INPT. OR OBSERVATION DISCHARGE DAY MANAGEMENT; > 30 MIN ON THE DATE OF THE ENCOUNTERHOSPITAL DISCHARGE DAY MANAGEMENT; > 30 MIN
99242OFFICE OR OTHER OUTPATIENT CONSULTATIONOFC./OTHER OUTPT CONSULT - NEW OR EST. PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM & STRAIGHTFWD MDM.OFFICE CONSULTATION, 3 KEY COMPONENTS:EXPAND PROB FOCUS HX;EXPAND PROB FOCUS EXAM;STRTFWD MED DECISN
99243OFFICE OR OTHER OUTPATIENT CONSULTATIONOFFICE OR OTHER OUTPT. CONSULT FOR A NEW OR EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND LOW MDM.OFFICE CONSULTATION, 3 KEY COMPONENTS: DETAILED HX; DETAILED EXAM; MED DECISION LOW COMPLEXITY
99244OFFICE OR OTHER OUTPATIENT CONSULTATIONOFC. / OTHER OUTPT. CONSULT FOR A NEW OR EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND MODERATE MDM.OFFICE CONSULTATION, 3 KEY COMPONENTS:COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISION MOD COMPLEX
99245OFFICE OR OTHER OUTPATIENT CONSULTATIONOFC./ OTHER OUTPT. CONSULTATION FOR A NEW OR EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND HIGH MDM.OFFICE CONSULTATION, 3 KEY COMPONENTS: COMPREHENSIVE HX;COMPREHENSIVE EXAM;MED DECISION HIGH COMPLEX
99252INPATIENT OR OBSERVATION CONSULTATIONINPT. OR OBSV. CONSUL - NEW OR EST. PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM AND STRAIGHTFWD MDM.INITIAL INPT CONSULT, 3 KEY COMPONENTS:EXPAND PROB FOCUS HX;EXPAND PROB FOCUS EXAM;STRTFWD MED DECIS
99253INPATIENT OR OBSERVATION CONSULTATIONINPT. OR OBSV. CONSULT FOR A NEW OR EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND LOW MDM.INITIAL INPT CONSULT, 3 KEY COMPONENTS: DETAILED HX; DETAILED EXAM; MED DECISION LOW COMPLEX
99254INPATIENT OR OBSERVATION CONSULTATIONINPT. OR OBSV. CONSULT FOR A NEW OR EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND MODERATE MDM.INITIAL INPT CONSULT, 3 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIVE EXAM; MED DECISION MOD COMPLEX
99255INPATIENT OR OBSERVATION CONSULTATIONINPT. OR OBSV. CONSULT FOR A NEW OR EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND HIGH MDM.INITIAL INPT CONSULT, 3 KEY COMPONENTS:COMPREHENSIVE HX;COMPREHENSIVE EXAM;MED DECISION HIGH COMPLEX
99281EMERGENCY DEPARTMENT VISITEMERGENCY DEPT VISIT, THAT MAY NOT REQUIRE THE PRESENCE OF PHYSICIAN OR OTHER QUALIFIED HCPEMERGENCY DEPT VISIT, 3 KEY COMPONENTS: PROB FOCUS HX; PROB FOCUS EXAM; STRTFWD MED DECISION
99282EMERGENCY DEPARTMENT VISITEMERGENCY DEPT VISIT,2 KEY COMPONENTS:MED APPR. HX AND/OR EXAM AND STRAIGHTFWD MDM.EMERGENCY DEPT VISIT,3 KEY COMPONENTS:EXPAND PROB FOCUS HX;EXPAND PROB FOCUS EXAM;MED DEC LOW COMPLX
99283EMERGENCY DEPARTMENT VISITEMERGENCY DEPT VISIT,2 KEY COMPONENTS:MED APPR HX;AND/OR EXAM AND LOW MDMEMERGENCY DEPT VISIT,3 KEY COMPONENTS:EXPAND PROB FOCUS HX;EXPAND PROB FOCUS EXAM;MED DEC MOD COMPLX
99284EMERGENCY DEPARTMENT VISITEMERGENCY DEPT VISIT,2 KEY COMPONENTS:MED APPR HX;AND/OR EXAM AND MODERATE MDMEMERGENCY DEPT VISIT, 3 KEY COMPONENTS: DETAILED HX; DETAILED EXAM; MED DECISION MOD COMPLEXITY
99285EMERGENCY DEPARTMENT VISITEMERGENCY DEPT VISIT, 2 KEY COMPONENTS:MED APPR HX;AND/OR EXAM AND HIGH MDMEMERGENCY DEPT VISIT, 3 KEY COMPONENTS:COMPREHENSIVE HX; COMPREHENSIVE EXAM; MED DECISN HIGH COMPLEX
99288PHYS/OTH HCP VIA EMS, ER, ADV LIFE SPPRTPHYSICIAN DIRECTION, EMERGENCY MEDICAL SYSTEMS (EMS) EMERGENCY CARE, ADVANCED LIFE SUPPORTPHYSICIAN DIRECTION, EMERGENCY MEDICAL SYSTEMS (EMS) EMERGENCY CARE, ADVANCED LIFE SUPPORT
99304INITIAL NURSING FACILITY CARE, PER DAY1ST NF CARE, PER DAY, FOR E&M OF PATIENT, + MEDICALLY APPR. HX. &/OR EXAM & STRAIGHTFWD/LOW MDM.1ST NF CARE PR D E/M LW SEVERITY
99305INITIAL NURSING FACILITY CARE, PER DAY1ST NF CARE, PER DAY, FOR E&M OF PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM & MOD MDM.1ST NF CARE PR D E/M MOD SEVERITY
99306INITIAL NURSING FACILITY CARE, PER DAY1ST NF CARE, PER DAY, FOR E&M OF PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM & HIGH MDM.1ST NF CARE PR D E/M HI SEVERITY
99307SUBSEQUENT NURSING FACILITY CARE PER DAYSBSQ NSING FC. CARE PER DAY FOR E&M OF A PATIENT + MEDICALLY APPR. HX. &/OR EXAM & STRAIGHTFWD MDM.SBSQ NF CARE PR D E/M STABLE
99308SUBSEQUENT NURSING FACILITY CARE PER DAYSBSQ NF CARE, PER DAY, + MEDICALLY APPR. HX. AND/OR EXAM & LOW MDM.SBSQ NF CARE PR D E/M MINOR COMPLCTJ
99309SUBSEQUENT NURSING FACILITY CARE PER DAYSBSQ NF CARE, PER DAY, + MEDICALLY APPR. HX. AND/OR EXAM & MODERATE MDM.SBSQ NF CARE PR D E/M NEW PROBLEM
99310SUBSEQUENT NURSING FACILITY CARE PER DAYSBSQ NF CARE, PER DAY, + MEDICALLY APPR. HX. AND/OR EXAM & HIGH MDM.SBSQ NF CARE PR D E/M UNSTABLE/NEW PROBL
99315NURSING FACILITY DISCHARGE MANAGEMENTNURSING FACILITY DISCHARGE MANAGEMENT; 30 MINUTES OR LESS TOTAL TIME ON THE DATE OF THE ENCOUNTERNURSING FACILITY DISCHARGE DAY MANAGEMENT; 30 MIN OR <
99316NURSING FACILITY DISCHARGE MANAGEMENTNURSING FACILITY DISCHARGE MANAGEMENT; 31 MINUTES OR MORE TOTAL TIME ON THE DATE OF THE ENCOUNTERNURSING FACILITY DISCHARGE DAY MANAGEMENT; > 30 MIN
99341HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR E&M - NEW PATIENT, MEDICALLY APPR. HX. AND/OR EXAM AND STRAIGHTFWD MDM.HOME VISIT NEW PT 3 KEY COMPONENTS: PROB FOCUS HX; PROB FOCUS EXAM; STRTFWD MED DECISION
99342HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR THE E&M OF A NEW PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM AND LOW MDM.HOME VISIT NEW PT 3 KEY COMPONENTS:EXPAND PROB FOCUS HX;EXPAND PROB FOCUS EXAM; MED DECN LOW COMPLEX
99344HOME OR RESIDENCE VISITHOME / RESIDENCE VISIT FOR E&M OF A NEW PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM & MODERATE MDM.HOME VISIT NEW PT 3 KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM;MED DECISION MOD COMPLEXITY
99345HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR THE E&M OF A NEW PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM AND HIGH MDM.HOME VISIT NEW PT 3 KEY COMPONENTS: COMPREHENSIVE HX;COMPREHENSIVE EXAM;MED DECISION HIGH COMPLEXITY
99347HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR E&M OF EST. PATIENT, + MEDICALLY APPR. HX. AND/OR EXAM & STRAIGHTFWD MDM.HOME VISIT EST PT 2+ KEY COMPONENTS: PROB FOCUS INTRVL HX; PROB FOCUS EXAM; STRTFWD MED DECISION
99348HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR E&M OF EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND LOW MDM.HOME VISIT EST PT 2+ KEY COMPONENTS:EXPAND PROB FOCUS INT HX;EXPAND PROB FOCUS EXAM;MED DEC LOW COMP
99349HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR E&M OF EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND MODERATE MDM.HOME VISIT EST PT 2+ KEY COMPONENTS: DETAILED INTRVL HX; DETAILED EXAM; MED DECISION MOD COMPLEXITY
99350HOME OR RESIDENCE VISITHOME OR RESIDENCE VISIT FOR E&M OF EST. PT, + MEDICALLY APPR. HX. AND/OR EXAM AND HIGH MDM.HOME VISIT EST PT 2+ KEY COMPONENTS: COMPREHENSIVE HX; COMPREHENSIVE EXAM; MOD/HIGH COMPLEXITY
99358PROLONGED EVALUATION AND MANAGEMENTPROLONGED EVALUATION AND MANAGEMENT SERVICE BEFORE AND/OR AFTER DIRECT PATIENT CARE; FIRST HOURPROLONGED E&M SERVICE, BEFORE &/OR AFTER DIRECT CARE; 1ST HR
99359PROLONGED E&M SVC. ADD ONPROLONGED E&M SERVICE BEFORE AND/OR AFTER DIRECT PATIENT CARE; EACH ADDITIONAL 30 MINUTESPROLONGED E&M SERVICE, BEFORE &/OR AFTER DIRECT CARE; EACH ADD'L 30 MIN
99415PROLONGED CLINICAL STAFF SERVICEPROLONGED CLINICAL STAFF SERVICE, OFFICE/OP W/DIRECT CONTACT AND PHYSICIAN SUPERVISION, 1ST HRPROLONGED CLINICAL STAFF SERVICE, OFFICE/OP W/DIRECT CONTACT AND PHYSICIAN SUPERVISION, 1ST HR
99416PROLONGED CLINICAL STAFF SERVICEPROLONGED CLINICAL STAFF SERVICE, OFFICE/OP W/DIRECT CONTACT AND PHYSICIAN SUPERVISION, ADDL 30 MINPROLONGED CLINICAL STAFF SERVICE, OFFICE/OP W/DIRECT CONTACT AND PHYSICIAN SUPERVISION, ADDL 30 MIN
15851REMOVAL OF SUTURES OR STAPLESRemoval of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)REMOVAL, SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), OTHER SURGEON

2023 CPT Code Deletions

CPT CodeShort Description
40 character limit
Long Description
101 character limit
99217DO NOT USE 2023OBSERVATION CARE DISCHARGE DAY MANAGEMENT
99218DO NOT USE 2023INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99219DO NOT USE 2023INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99220DO NOT USE 2023INITIAL OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99224DO NOT USE 2023SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99225DO NOT USE 2023SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99226DO NOT USE 2023SUBSEQUENT OBSERVATION CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A PATIENT
99241DO NOT USE 2023OFFICE CONSULTATION FOR A NEW OR ESTABLISHED PATIENT
99251DO NOT USE 2023INPATIENT CONSULTATION FOR A NEW OR ESTABLISHED PATIENT
99318DO NOT USE 2023EVALUATION AND MANAGEMENT OF A PATIENT INVOLVING AN ANNUAL NURSING FACILITY ASSESSMENT
99324DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT,
99325DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99326DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99327DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99328DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT
99334DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99335DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99336DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99337DO NOT USE 2023DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISHED PATIENT
99339DO NOT USE 2023INDIVIDUAL PHYSICIAN SUPERVISION OF A PATIENT IN HOME, DOMICILIARY OR REST HOME - COMPLEX
99340DO NOT USE 2023INDIVIDUAL PHYSICIAN SUPERVISION OF PATIENT NOT PRESENT IN HOME, DOMICILIARY OR REST HOME - COMPLEX
99343DO NOT USE 2023HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT,
99354DO NOT USE 2023PROLONGED SERVICE(S) OUTPATIENT, REQUIRING DIRECT PATIENT CONTACT BEYOND USUAL; FIRST HOUR
99355DO NOT USE 2023PROLONGED SERVICE(S) IN THE OUTPATIENT SETTING REQUIRING BEYOND THE USUAL SERVICE; Q ADDL 30
99356DO NOT USE 2023PROLONGED SERVICE INPATIENT/OBSERVATION SETTING, REQUIRING BEYOND USUAL SERVICE; FIRST HOUR
99357DO NOT USE 2023PROLONGED SERVICE INPAT/OBSERVATION BEYOND THE USUAL SERVICE; EACH ADDITIONAL 30 MINUTES
15850DO NOT USE 2023REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON