Evaluation and Management (E/M) Coding & Guidelines
CMS and AMA Educational Resources to Guide and Educate on the E/M process
- AMA's 2021 Changes to Office and Outpatient E/M Services
- AMA's 2023 Changes to Other E/M Visits
- AMA's Table 2 – CPT E/M Office Revisions Level of Medical Decision Making (MDM)
- CMS Evaluation and Management Services
- CMS IOM Pub. 100-04, Chapter 12, Section 30.6 - E/M Service Codes
- CMS Incident-to Services & Supplies
- CMS FAQs: Split (or Shared) Visits and Critical Care Services
- Cognitive Assessment and Care Plan Services
- G2211 - E/M Visit Complexity Add-on Code:
- MM13004- Home or Residence Services: Billing Instructions
- Physician Fee Schedule (PFS) Payment for Office/Outpatient E/M Visits - Fact sheet (PDF)
- Signature Guidelines:
Interactive Tools for E/M Services
We fill in the gaps using educational resources to provide additional clarification
- Appealing New Patient Denials
- Care Management Services
- Critical Care Services
- Inpatient Hospital Care E/M Service
- Medical Decision Making and the Impact of Prescription Drug Management
- Medical Documentation Checklists
- Modifiers:
- Observation Services
- Office and Other Outpatient E/M Services
- Physician Care Plan Oversight
- Physician Certification and Recertification of Home Health Services
- Prolonged Services:
- Nursing Facility E/M Services
- Sample Signature Attestation Statement
- Scribe Services
- Split (or Shared) E/M
- Teaching Physicians
- Telehealth Services