In the Evaluation and Management section (99202-99499), there are many code categories. Each category may have specific guidelines, or the codes may include specific details. These E/M guidelines are written for the following categories:
Evaluation and Management Coding, E/M Codes - AAPC
Evaluation and management (E/M) coding is the use of CPT ® codes from the range 99202-99499 to represent services provided by a physician or other qualified healthcare professional. As the name E/M indicates, these medical codes apply to visits and services that involve evaluating and managing patient health.
CPT® Evaluation and Management - American Medical Association
Dec 27, 2023 · This educational module provides an overview of the evaluation and management (E/M) code revisions and shows how it differs from current coding requirements and terminology. Access the Module
For dates of service in 2023, use the revised CPT codes for Other E/M services (except for prolonged services). This includes: G2211 captures the complexity of the O/O E/M visit based on the ongoing relationship between the practitioner and patient. The complexity that code G2211 captures isn’t in the clinical condition.
Evaluation and Management (E/M) Coding | Coding Clarified
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 coding plays a critical role in ensuring accurate reimbursement, improving compliance, and maintaining financial integrity for healthcare organizations.
CPT® Evaluation and Management (E/M) revisions FAQs
Current Procedural Terminology (CPT ®) E/M office or other outpatient revisions went into effect Jan. 1, 2021. The landmark changes were developed by the AMA and adopted by the Centers for Medicare & Medicaid Services. The CPT Editorial Panel issued technical corrections in March to the make the changes easier to implement.
Coding for Evaluation and Management Services - AAFP
Evaluation and management (E/M) services are at the core of most family medicine practices and represent a category of Current Procedural Terminology (CPT) codes used for billing purposes.
2025 Coding Guide-3: Evaluation and Management CPT Codes
Evaluation and Management (E/M) codes are used to bill for visits and consultations provided by a physician. These codes are categorized based on the delivery site of service and level. E/M …
Evaluation and Management Services | Providers | Blue Cross NC
6 days ago · Evaluation and Management codes (CPT ® 99202-99215 and 99241-99245) are not eligible for reimbursement when the rendering provider is a physical therapist, occupational therapist, speech therapist, or an assistant thereof. Evaluative services would be submitted using the appropriate therapy evaluation codes, such as 97161-97164, 97165-97168 ...
Providers should report E/M services in accordance with the American Medical Association’s (AMA’s) CPT Manual E/M documentation criteria and CMS guidelines for reporting E/M service codes. Complete medical record documentation is the foundation of every patient's health record and can significantly affect claim coding and adjudication.