In 2021, significant changes were adopted for the documentation guidelines for outpatient evaluation and management (E/M) visit codes. Most notably, medical decision making or time …

E/M coding standards and guidelines are based on the Current Procedural Terminology codes and used to document the type and severity of patient conditions.

The informa on and tools provided by DecodingDoc are designed as an aid and quick reference for medical providers in the documenta on and coding of medical services.

Feb 17, 2025 · The Evaluation and Management (E/M) coding system is used by healthcare providers to report and bill for services that involve patient evaluation and management.

E/M codes that have levels of services include a medically appropriate history and/or physical examination, when performed. The nature and extent of the history and/or physical …

Sep 1, 2025 · Understand E/M codes in medical billing. Learn how evaluation and management coding works, including levels, documentation, and reimbursement guidelines.

Panacea’s experts compiled this guidebook as an easy reference for coding professionals. In it, you’ll find tip sheets and reference articles for several different categories of E&M coding.

Report prolonged E/M services using Medicare-specific coding. When reporting prolonged visits, you would report the codes for the primary service and the prolonged services.

Evaluation and Management (E/M) codes are a subset of CPT (Current Procedural Terminology) codes used to document and bill for non-procedural patient encounters.

Sep 29, 2025 · If you use MLN Booklets in your physician practice, download the most recent version of the guide for coding and billing E/M services (MLN006764 – September 2025).