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CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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June 8, 2023

Quick Coding Reference Sheet – E/M Services

E/M Quick Reference for Evaluation and Management Codes

This is an E/M reference using the 1995/1997 guidelines. As of Jan 1, 2023 it will no longer be in use. Why have we kept it on the site? In case you are auditing office services from prior to 2021 or all other E/M services prior to 2023.

This essential resource from CodingIntel includes:

  • CPT® E&M codes for each of the above categories
  • Documentation requirements
  • MDM examples
  • Time thresholds
  • and more important information on evaluation and management codes

What’s not on this reference? The office guidelines for 2021 and beyond and all other E/M services beginning in 2023.

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Last revised February 23, 2023 - Betsy Nicoletti
Tags: E/M reference sheets, primary care_E/M services

CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

Audit tool for Modifier 25

Reasonable coders and practitioners can and do disagree about when a separate E/M service is warranted on the day of a minor procedure. This audit tool for modifier 25 will help determine if a separate E/M service should be reported. Using it consistently will help practices be reliable in their determinations and provide support in payer audits. Sign up for our monthly newsletter to download the reference sheet.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

Watch it now

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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. For more about Betsy visit www.betsynicoletti.com.

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