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Evaluation and Management Coding

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Evaluation and Management Coding (commonly known as E/M Coding or E&M Coding) is a medical billing process that virtually all practicing doctors in the United States must use to be reimbursed for medical services.

E/M standards and guidelines were established by Congress in 1995 and revised in 1997. It has been broadly adopted for private health insurance as the standard guidelines for determining type and severity of patient conditions. This allows medical service providers to document and bill for reimbursement for services provided.

E/M codes are based on the Current Procedural Terminology (CPT) codes established by the American Medical Association (AMA).

In 2010, new codes were added to the E/M Coding set, for prolonged services without direct face-to-face contact.


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