Evaluation and Management (E/M) FAQs

Where can I find Medicare guidance for Evaluation and Management (E/M) services?

Medicare guidance for Evaluation and Management (E/M) services is available from several sources:

• The American Medical Association (AMA) publishes E/M coding and reporting guidelines in the CPT code set, including the 2021 changes to office and outpatient E/M services and the 2023 changes to other E/M visits categories.
• CMS publishes educational resources, including the MLN Matters Booklet MM006764, Evaluation and Management Services.
• First Coast provides additional education and articles to clarify Medicare billing, coding, and documentation requirements and address topics not fully covered in national guidance.

Visit the E/M Coding & Guidelines page for centralized access to Medicare E/M resources, CMS educational materials, contractor articles, and other E/M guidance.