Evaluation and management (E/M) coding is notoriously difficult because coders may have trouble selecting the correct code from among a range of seemingly appropriate choices.
Consequently, providers can make more mistakes with E/M coding than coding for any other item or service. The Evaluation and Management Coding Advisor 2026 offers detailed and advanced guidance on selecting the appropriate E/M codes, with helpful resources designed for difficult E/M coding situations.
Brand new features found in this Optum E/M coding guide:
- Complete 2026 update to changes in E/M coding process. Provides all the 2026 code by E/M category.
Additional features and benefits of Evaluation and Management Coding Advisor include:
- Compliance guidance, checklist, and worksheets. Assists in helping avoid costly revenue take-backs.
- Documentation guidance. Review key factors for proper E/M code selection, plus advice to help clinicians make an objective review of subjective information that assist in correct ICD-10-CM code selection as well has your E/M code preventing delays in claims processing pending information and stop outright claims denials.
- Evaluation and Management (E/M) Services Guidelines – E/M codes are used every day in your practice. With CPT E/M Guidelines, Medicare guidelines and additional code selection protocols, you have all the information you need to select the correct E/M code for the service provided.
- Includes clinical case studies. Train coders and clinicians using real-life scenarios.
- Telemedicine services. Understand how E/M services are reported.
- Chapter addressing HCPCS Level II codes. Extensive HCPCS service types are all listed together in one chapter.
- Covers E/M services. Review of the E/M rules and protocols.
- Helpful advice designed for difficult E/M coding situations. Well-patient exams, and other common, but problematic coding scenarios are explained.
- Includes knowledge assessments. With answers and rationale, get instant feedback on knowledge retention.
- Targeted areas. Review what auditors are targeting, such as critical care.
- Online access to Physician E/M Self-Audit Forms. Protect your revenue critical services and procedures.
CPT is a registered trademark of the American Medical Association.