Background: On January 1st, 2023, the AMA released updated CPT E&M codes and guidelines. While there were welcome aspects to these changes – including removing need for an extensive physical exam and making it easier to capture prolonged service time – healthcare systems were left grappling with a need to quickly respond to these complex [...]

Case Presentation: A 67-year-old male presented to the Emergency Department with a chief complaint of bilateral vision loss. He had a complex medical history including atrial fibrillation, coronary artery bypass graft surgery, aortic stenosis with bioprosthetic valve replacement, and ascending aortic aneurysm graft and repair performed in 2022. He was admitted and on inpatient work-up [...]