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April 9, 2026

E/M MLN guide

Nicoletti Notes September 2025
Published on September 9th, 2025

CMS released an updated MLN guide for Evaluation and Management Services in July and removed it in August. I’ve saved a copy, however, and you can download it from CodingIntel’s site. (link below)

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What’s new in the guide?

  • This is old news. Since 1-1-2025, a practice could use G2211 when performing a preventive medicine service along with an E/M visit.
  • Added information about performing intravitreal injections and an E/M service at the same encounter.
  • Critical care clarifications and explanations. Three new pages of examples and “what ifs.” Very useful if your group provides critical care services.
  • More old news. Telehealth updates effective 1-1-2025.

If you like to have all the versions of E/M guides from CMS, you can download this one here.

Last revised February 16, 2026 - CodingIntel Editor

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions.

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