Podiatry Coding & Billing Alert

Make sure you’re ready for the MDM levelling changes and new Z codes for 2023.

The end of the year brings many new codes, coding guidelines, and regulations imposed by Medicare and private payers alike. New Z codes went into effect Oct. 1, 2022, and new levelling guidelines for the last of the evaluation and management (E/M) services that still follow the 1995/1997 guidelines will go into effect on Jan. 1, 2023.

Are you up to date and ready for 2023? Test yourself with our quiz below.

Question 1: As of Jan. 1, 2023, if an external source orders a test but your podiatrist is the provider who reviews results, can you count the review for the data element of medical decision making (MDM)?

Question 2: Previously, you’ve been calculating office consultation E/M levels using history, exam, and/or MDM, or typical time, when appropriate. New MDM guidelines should make establishing a level simpler in 2023. What code would you use beginning Jan. 1, 2023, for a 30-minute office consultation involving low-level MDM?

Question 3: On Oct. 1. 2022, 19 new Z codes were implemented reflecting social determinants of health (SDoH) that might present a barrier to effective healthcare. What new Z codes might you use for SDoH that affect compliance of podiatry patients with treatment?

Think you know the answers? Click here to know the Answers.