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Coding & billing

E/M coding

Evaluation-and-management billing — the CPT subset most outpatient visits use.

E/M codes describe office-visit complexity and time. Since the 2021 / 2023 E/M reforms, the documentation requirements eased and the code level is driven primarily by medical decision-making or total time. Several ambient scribes now propose E/M levels from the conversation.

See also

  • CPTAmerican Medical Association codes for procedures and services billed in US healthcare.