CPT/HCPCS Section
Evaluation and Management (E/M)
94 procedure codes with Medicare Physician Fee Schedule payment data. Click a code for Facility vs Non-Facility rates, allowed amounts and utilization.
99202New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more$38→99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more$63→99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more$102→99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more$145→99211Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional$12→99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more$31→99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more$52→99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more$75→99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more$114→99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes$61→99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes$97→99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes$130→99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$36→99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes$59→99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes$89→99234Initial hospital care with same-day admission and discharge with straightforward or low level of medical decision making, per day, if using time, at least 45 minutes$71→99235Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes$114→99236Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes$153→99238Hospital discharge day management, 30 minutes or less$60→99239Hospital discharge day management, more than 30 minutes$86→99281Emergency department visit for problem that may not require health care professional$8→99282Emergency department visit with straightforward medical decision making$28→99283Emergency department visit with low level of medical decision making$51→99284Emergency department visit with moderate level of medical decision making$86→99285Emergency department visit with high level of medical decision making$132→99291Critical care, first 30-74 minutes$170→99292Critical care, each additional 30 minutes$86→99304Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes$59→99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes$98→99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more$135→99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes$29→99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more$53→99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes$74→99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes$106→99315Nursing facility discharge day management, 30 minutes or less$58→99316Nursing facility discharge management, more than 30 minutes$91→99341Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes$35→99342Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes$57→99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes$97→99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes$136→99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes$30→99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes$53→99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes$88→99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes$128→99406Smoking and tobacco use intensive counseling, 4-10 minutes$12→99407Smoking and tobacco use intensive counseling, more than 10 minutes$25→99415Extended office or other outpatient service by clinical staff, first hour$17→99416Extended office or other outpatient service by clinical staff, each additional 30 minutes$6→99421Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes$10→99422Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes$20→99423Online digital evaluation and management service for an established patient for up to 7 days, total time 21 or more minutes$32→99424Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month.$60→99425Principal care management services for a single high-risk disease, each additional 30 minutes provided personally by qualified health care professional, per calendar month$43→99426Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month$41→99427Principal care management services for a single high-risk disease, each additional 30 minutes of clinical staff time directed by health care professional, per calendar month$31→99437Chronic care management services for two or more chronic conditions, additional 30 minutes provided personally by health care professional, per calendar month$40→99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month$31→99441Telephone medical discussion with physician, 5-10 minutes$30→99442Telephone medical discussion with physician, 11-20 minutes$53→99443Telephone medical discussion with physician, 21-30 minutes$79→99446Telephone, internet, or electronic health record assessment and management with verbal and written report by consulting physician, 5-10 minutes$13→99447Telephone or internet assessment with verbal and written report by consulting physician, 11-20 minutes$26→99448Telephone or internet assessment with verbal and written report by consulting physician, 21-30 minutes$39→99449Telephone or internet assessment with verbal and written report by consulting physician, more than 30 minutes$54→99451Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes$26→99452Telephone or internet referral service, 30 minutes$24→99453Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment$16→99454Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days$37→99457Management using the results of remote vital sign monitoring per calendar month, first 20 minutes$30→99458Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes$26→99459Pelvic exam$16→99462Follow-up hospital care of newborn per day$28→99463Initial inpatient hospital or birthing center same date care and discharge of newborn$88→99471Initial inpatient hospital critical care of infant or young child per day (29 days to 2 years)$576→99472Follow-up inpatient hospital critical care of infant or young child per day (29 days to 2 years)$303→99473Education and training to self measure blood pressure$11→99474Self measured blood pressure measurements$9→99475Initial inpatient hospital critical care of infant or young child per day (2-5 years)$434→99476Follow-up inpatient hospital critical care of infant or young child per day (2-5 years)$263→99479Follow-up intensive care of recovering low birth weight infant per day$94→99483Assessment of and care planning for patient with impaired thought processing, typically 60 minutes$164→99484Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional$36→99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month$82→99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month$46→99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month$40→99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month$59→99492Initial psychiatric collaborative care management, first calendar month, first 70 minutes$93→99493Follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes$89→99494Psychiatric collaborative care management per calendar month, each additional 30 minutes$38→99495Transitional care management services for problem of at least moderate complexity$119→99496Transitional care management services for problem of high complexity$167→99497Advance care planning, first 30 minutes$60→99498Advance care planning, each additional 30 minutes$52→99499Other evaluation and management service$80→