Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: May 09, 2019
This page contains guidance regarding documentation and payment under the Medicare Physician Fee Schedule for evaluation and management (E/M) visits.
- 1995 Documentation Guidelines For Evaluation and Management Services (PDF)
- 1997 Documentation Guidelines For Evaluation and Management Services (PDF)
- CY 2019 PFS Proposed Rule Documentation Requirements and Payment for Evaluation and Management Visits and Advancing Virtual Care (PDF)
- Physician Fee Schedule (PFS) Payment for Office/Outpatient Evaluation and Management (E/M) Visits – Fact Sheet (PDF) - Updated 01/14/2021
- Evaluation and Management (E/M) Visit Frequently Asked Questions (FAQs) (PDF)
- Evaluation and Management Services MLN Publication
- FAQs: Split (or Shared) Visits and Critical Care Services (PDF): Posted 4/7/2022
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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.