CPT E/M Coding Tool 5th Edition

Effective January 1, 2023:

Revisions to the Medicare Physician Fee Schedule Final Rule, effective January 2023, have impacted many care and service groups across multiple medical specialties. Administrative burdens for physicians have been reduced, but there are significant changes to E/M codes for those in outpatient and office/clinic settings.

Evaluation and Management Codes

Way back in 1992 all CPT “visit” codes were replaced by “evaluation and management codes,” commonly referred to as E/M codes. PMIC developed the CPT E/M Coding Tool to help our customers with the transition. Over 84,000 copies have been distributed and the tool is used daily by doctors offices, hospital coders, and health insurance claims examiners nationwide for help with E/M coding.

This simple and easy-to-use two-sided tool helps you choose and validate E/M codes. This incredible gadget was described as “by far the most useful tool of this type I have seen…” by Barry Eisenberg, ph.D, former VP of the AMA. The coding tool is continuously revised and updated, makes E/M coding faster and easier and is a great coding aid for both new and experienced coders.

How does this E/M Coding Tool work?

The code selection wheel makes it easy to choose or validate E & M codes:

• To choose the proper E/M code, first move the pointer to the correct service Category; for example Office and Other Outpatient Services, New Patient. Then move the pointer to each code in the category until the dots in the window correspond to the level of service provided.
• To validate an E/M code that you have already chosen, first move the pointer to the code, then review the components in the window to confirm that the required history, examination, medical decision making, nature of the presenting problem and time match the service provided and the documentation in the medical record.

CPT is a registered trademark of the American Medical Association.