E/M coding and guidelines
CMS and AMA educational resources to guide and educate on the E/M process
- Physician fee schedule (PFS) payment for office / outpatient E/M visits - Fact sheet
- CMS evaluation and management guide
- CMS IOM Pub. 100-04, Chapter 12, section 30.6 - E/M service codes
- AMA's 2021 changes to office and outpatient E/M services
- AMA's 2023 changes to other E/M visits
- CPT E/M office revisions - Medical decision making (MDM)
- CMS FAQs: E/M visits
- CMS FAQs: Split (or shared) visits and critical care services
- Signature guidelines:
- Cognitive assessment and care plan services
- G2211 - E/M visit complexity add-on code:
Interactive tools for E/M services
- Interactive worksheet
- Interactive worksheet updates: Verify your E/M code selection in 2023
- Incident-to tool
We fill in the gaps using educational resources to provide additional clarification
- Appealing new patient denials
- Care management services
- Complying with Medicare signature requirements
- Critical care services
- E/M services furnished by a non-physician practitioner incident to a physician's service
- Home or residence services: Billing instructions
- Incident-to services
- Medical decision making and the impact of prescription drug management
- Observation 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 / shared E/M
- Teaching physicians
- Telehealth services
E/M FAQs
Can’t find what you were looking for? Here you will find the answers to the most frequently asked E/M questions.