Evaluation and Management (EM)

Published 01/31/2022

Access these helpful resources for more information about evaluation and management (E/M) services.

The CY2022 CMS guidance regarding Split/Shared, Critical Care and other services is located in the following CMS publications:

Palmetto GBA is in the process of updating our web education related to these services based on the CMS guidelines and will notify our provider community through the jurisdictional websites and our Email Updates messaging. Please review the articles above for full details.


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E/M Weekly Tip: Type of Data-Pulse OximetryE/M Weekly Tip: Type of Data-Pulse OximetryE/M Weekly Tip: Counseling/Coordination Office SettingE/M Weekly Tip: Review of Old Records and Past, Family and Social History (PFSH) from OthersE/M Weekly Tip: Counseling/Coordination Documentation RequirementsE/M Weekly Tip: Laboratory, Radiology and Other Diagnostic Test FindingsE/M Weekly Tip: Drugs Requiring Intensive Monitoring (Coumadin)E/M Weekly Tip: General DocumentationE/M Weekly Tip: Billing Observation or Inpatient Care Services (Including Admission and Discharge Services)E/M Weekly Tip: Documentation Provided by StudentsE/M Weekly Tip: Diagnosis and Management Options - New ProblemE/M Weekly Tip: Chief ComplaintE/M Weekly Tip: Completing DocumentationE/M Weekly Tip: History Component - History of Present IllnessE/M Weekly Tip: Hospital and Nursing Facility Discharge Services as They Relate to TimeE/M Weekly Tip: ExaminationE/M Weekly Tip: Significant, Separately Identifiable Evaluation and Management ServiceE/M Weekly Tip: Review of Systems - 'All Others Negative'E/M Weekly Tip: History Component - Interval HistoryE/M Weekly Tip: An E/M on the Same Day as PsychotherapyE/M Weekly Tip: Unable to Obtain (Examination)E/M Weekly Tip: Medical Decision-Making - ComplexityE/M Weekly Tip: Medical NecessityE/M Weekly Tip: 1995 Comprehensive ExaminationE/M Weekly Tip: Cloning - Chief Complaint (CC), History of Present Illness (HPI), Review of Systems (ROS) and ExaminationE/M Weekly Tip: Combined BillingE/M Weekly Tip: History Component 'Unable to Obtain'E/M Weekly Tip: History Component - Use of DiagnosesE/M Weekly Tip: 1995 Examination (Combining)E/M Weekly Tip: Documentation of Prolonged CareE/M Weekly Tip: Discharge Services - Date of ServiceE/M Weekly Tip: Medical Necessity and Reasonable/NecessaryE/M Weekly Tip: Examination Component - Abnormal FindingsE/M Weekly Tip: Drugs Requiring Intensive Monitoring (Insulin Drip)E/M Weekly Tip: Injections and InfusionsE/M Weekly Tip: History Component - Chief Complaint Use of 'Follow-Up'E/M Weekly Tip: Risk of Significant Complications, Morbidity and/or Mortality (Risk Assessment)E/M Weekly Tip: Diagnosis and Management OptionsE/M Weekly Tip: Separate Elements of the HistoryE/M Weekly Tip: CloningE/M Weekly Tip: Double DippingE/M Weekly Tip: Counseling and/or Coordination of CareE/M Weekly Tip: History of Present Illness (HPI) - Multiple ComplaintsE/M Weekly Tip: New Patient CodesE/M Weekly Tip: Drug Therapy Requiring Intensive Monitoring (Table of Risk)E/M Weekly Tip: Documentation Requirements for Teaching PhysiciansE/M Weekly Tip: Discharge Services - Patient ExpiredE/M Weekly Tip: Prolonged Care Time RequirementE/M Weekly Tip: History Component TypesE/M Weekly Tip: History of Present Illness (HPI) - Negative Findings/ComplaintsNew Patient Office Visits ModuleEvaluation and Management (E/M) Coding Reminder: Group PracticesExamination Component of 1995 and 1997 Documentation GuidelinesTeaching Physician Documentation in the Era of Electronic Medical Records (EMR)Management Options: Drug Therapy Requiring Intensive Monitoring for ToxicityTransitional Care Management ServicesExam: Single Organ SystemOverpayments Identified Due to New Patient E/M EditScribesNews You Can Use: New Patient Office VisitsMedical Decision-Making ComponentInpatient Care Prolonged Services: Description and Companion CodesOffice or Outpatient Care Prolonged Services: Description and Companion CodesSelection of Level of E/M Service Based on Duration of Coordination of Care and/or CounselingEstablished Patient Office Visits ModuleMedical Record CloningEvaluation and Management Services Guide, CMS MLN ProductGeneral Ophthalmological Services vs. Evaluation and Management (E/M) CodesE/M Weekly Tip: Review of Systems; and Past, Family and Social History - Obtained During an Earlier EncounterE/M Weekly Tip: Emergency Department ConsultationsNew Patient Visits by the Same Physician or Physician GroupEntries in Medical Records: Amendments, Corrections and AddendaMedicare Medical Records: Signature Requirements, Acceptable and Unacceptable PracticesCY2022 CMS guidance regarding Split/Shared, Critical Care and Other ServicesTeaching Physician Services: 2022 ChangesPhysician Assistant (PA) Billing and Payment UpdatesSplit/Shared Evaluation and Management VisitsMedical Review: Additional Documentation Requests (ADRs)